Provider Demographics
NPI:1972734036
Name:FOUR SEASONS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:FOUR SEASONS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:BILAL
Authorized Official - Last Name:RIZWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-413-7204
Mailing Address - Street 1:19144 W.WARREN AVE SUITE A
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228
Mailing Address - Country:US
Mailing Address - Phone:313-982-1104
Mailing Address - Fax:
Practice Address - Street 1:19144 W.WARREN SUITE A
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228
Practice Address - Country:US
Practice Address - Phone:248-275-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health