Organization
SEASONS COMMUNITY OUTREACH SERVICES NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE DODSON (EXECUTIVE DIRECTOR)
(708) 331-8875
Entity
Organization
Contact information
Practice address
2959 W 159TH ST STE E, MARKHAM, IL 60428-4062
(708) 331-8875
Mailing address
16148 KEDZIE AVE, MARKHAM, IL 60428-4603
(708) 331-8875
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/30/2020
Last updated
01/17/2022
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