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Organization

SELAH CONVALESCENT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL J. HYATT (OWNER/ADMINISTRATOR)
(509) 697-8503
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1108
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4111084
WA
Enumeration date
10/12/2005
Last updated
04/28/2011
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