Organization
SELENA SENIOR HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN HUSSEIN (OWNER)
(205) 777-9144
Entity
Organization
Contact information
Practice address
7051 GABELS CREST PL, FONTANA, CA 92336-0863
(205) 777-9144
Mailing address
9713 EUGENIA AVE, FONTANA, CA 92335-6319
(205) 777-9144
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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