# SELAH CONVALESCENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396733440
- **Authorized official:** MS. CAROL J. HYATT (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (509) 697-8503

## Contact information

- **Practice address:** 203 W NACHES AVE, SELAH, WA 98942-1325
- **Practice address phone:** (509) 697-8503
- **Practice address fax:** (509) 697-4558
- **Mailing address:** 203 W NACHES AVE, PO BOX 157, SELAH, WA 98942-1325
- **Mailing address phone:** (509) 697-8503
- **Mailing address fax:** (509) 697-4558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1108 | WA | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 04/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4111084 | — | WA |