Provider Demographics
NPI:1750547196
Name:THE SELIG GROUP
Entity type:Organization
Organization Name:THE SELIG GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SELIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-746-1855
Mailing Address - Street 1:150 E SPRAGUE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BROADVIEW HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-1260
Mailing Address - Country:US
Mailing Address - Phone:440-746-1855
Mailing Address - Fax:440-746-1857
Practice Address - Street 1:150 E SPRAGUE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:BROADVIEW HTS
Practice Address - State:OH
Practice Address - Zip Code:44147-1260
Practice Address - Country:US
Practice Address - Phone:440-746-1855
Practice Address - Fax:440-746-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health