Provider Demographics
NPI:1518251099
Name:SELMA INNOVATION TECHNOLOGY TRAINING INSTITUTE
Entity Type:Organization
Organization Name:SELMA INNOVATION TECHNOLOGY TRAINING INSTITUTE
Other - Org Name:SITTI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF HEALTHCARE SERVICES
Authorized Official - Prefix:PROF
Authorized Official - First Name:YASCHICA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-874-4222
Mailing Address - Street 1:116 MABRY ST
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-4636
Mailing Address - Country:US
Mailing Address - Phone:334-874-4222
Mailing Address - Fax:334-874-4248
Practice Address - Street 1:116 MABRY ST
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-4636
Practice Address - Country:US
Practice Address - Phone:334-874-4222
Practice Address - Fax:334-874-4248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care