Organization
SEASONS COMMUNITY OUTREACH SERVICES - HOME SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE DODSON (AGENCY MANAGER)
(708) 634-4047
Entity
Organization
Contact information
Practice address
16148 KEDZIE AVE, MARKHAM, IL 60428-4603
(708) 331-8875
Mailing address
16148 KEDZIE AVE, MARKHAM, IL 60428-4603
(708) 634-4047
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/15/2023
Last updated
02/28/2023
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