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Organization
FOUR SEASONS IN HOME SERVICES,LLC
Active
Organization
FOUR SEASONS IN HOME SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOSEPH DESTEFANE (PRESIDENT)
(660) 826-2600
Entity
Organization
Contact information
Practice address
908 N 2ND ST, CLINTON, MO 64735-1453
(660) 826-2600
(660) 826-0021
Mailing address
908 N 2ND ST, CLINTON, MO 64735-1453
(660) 826-2600
(660) 826-0021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/01/2007
Last updated
05/20/2024
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