Healthcare Provider Details

I. General information

NPI: 1134269533
Provider Name (Legal Business Name): NIA HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 STILLMAN ST
SELMA CA
93662-3026
US

IV. Provider business mailing address

2108 STILLMAN ST
SELMA CA
93662-3026
US

V. Phone/Fax

Practice location:
  • Phone: 559-896-4990
  • Fax: 559-896-3441
Mailing address:
  • Phone: 559-896-4990
  • Fax: 559-896-3441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. JEWELL MARIE WILLIAMS
Title or Position: ADMINISTRATOR
Credential: ADMINISTRATION
Phone: 559-896-4990