Provider Demographics
NPI:1851088876
Name:DORSEY, ALESIA DELON
Entity Type:Individual
Prefix:
First Name:ALESIA
Middle Name:DELON
Last Name:DORSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2292 STEWART DR NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-2345
Mailing Address - Country:US
Mailing Address - Phone:330-307-8077
Mailing Address - Fax:
Practice Address - Street 1:2292 STEWART DR NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-2345
Practice Address - Country:US
Practice Address - Phone:330-307-8077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty