Healthcare Provider Details

I. General information

NPI: 1083150536
Provider Name (Legal Business Name): SELBY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2017
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARKSTON WAY
NEW CASTLE DE
19720-8846
US

IV. Provider business mailing address

1 BARKSTON WAY
NEW CASTLE DE
19720
US

V. Phone/Fax

Practice location:
  • Phone: 215-203-4868
  • Fax:
Mailing address:
  • Phone: 215-203-4868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberPN265548
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberPN265548
License Number StatePA

VIII. Authorized Official

Name: MRS. VELECIA D. SELBY
Title or Position: OWNER/ADMINISTRATOR
Credential: LPN
Phone: 215-203-4868