Provider Demographics
NPI:1093076648
Name:SELA ALF, INC
Entity Type:Organization
Organization Name:SELA ALF, INC
Other - Org Name:ASSISTED LIVING FACILITY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SELA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMRANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-496-1007
Mailing Address - Street 1:4080 N 35TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1912
Mailing Address - Country:US
Mailing Address - Phone:954-496-1007
Mailing Address - Fax:
Practice Address - Street 1:4080 N 35TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1912
Practice Address - Country:US
Practice Address - Phone:954-496-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility