Provider Demographics
NPI:1235329079
Name:SEASONS CHANGE INC
Entity Type:Organization
Organization Name:SEASONS CHANGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-453-3128
Mailing Address - Street 1:253 E HURON AVE
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-1316
Mailing Address - Country:US
Mailing Address - Phone:989-269-7254
Mailing Address - Fax:989-269-5653
Practice Address - Street 1:253 E HURON AVE
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-1316
Practice Address - Country:US
Practice Address - Phone:989-269-7254
Practice Address - Fax:989-269-5653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health