Provider Demographics
NPI:1083150536
Name:SELBY HEALTH SERVICES
Entity Type:Organization
Organization Name:SELBY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VELECIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SELBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:215-203-4868
Mailing Address - Street 1:1 BARKSTON WAY
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720
Mailing Address - Country:US
Mailing Address - Phone:215-203-4868
Mailing Address - Fax:
Practice Address - Street 1:1 BARKSTON WAY
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-8846
Practice Address - Country:US
Practice Address - Phone:215-203-4868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN265548251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care