# SELECTIVE HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063501948
- **Authorized official:** MRS. MERI J. BACON (PRESIDENT , CEO)
- **Authorized official phone:** (623) 533-8181

## Contact information

- **Practice address:** 19841 N 68TH DR, GLENDALE, AZ 85308-5593
- **Practice address phone:** (623) 533-8181
- **Practice address fax:** (623) 362-2242
- **Mailing address:** 19841 N 68TH DR, GLENDALE, AZ 85308-5593
- **Mailing address phone:** (623) 533-8181
- **Mailing address fax:** (623) 362-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 03/14/2011