Organization
SELA HEALTHCARE INC
Active
Other names
Villa Mesa Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER GREENWELL (CHIEF FINANCIAL OFFICER)
(909) 987-7735
Entity
Organization
Contact information
Practice address
867 E 11TH ST, UPLAND, CA 91786-4867
(909) 985-1981
(909) 982-2885
Mailing address
16742 ORANGE WAY, FONTANA, CA 92335-3809
(909) 987-7735
(909) 484-6809
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT06136I
—
CA
Enumeration date
08/21/2006
Last updated
08/19/2015
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