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Organization

SELENA SENIOR HOME LLC

Active
Other names
SELENA SENIOR HOME
Organization subpart
No

Provider details

NPI number
Authorized official
SHADEN HUSSEIN (ADMINISTRATOR)
(205) 777-9144
Entity
Organization

Contact information

Practice address
9713 EUGENIA AVE, FONTANA, CA 92335-6319
(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
12/22/2022
Last updated
12/22/2022
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