Provider Demographics
NPI:1093546194
Name:SELECT HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:SELECT HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWAL
Authorized Official - Middle Name:OLAWALE
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-980-0467
Mailing Address - Street 1:605 MAIN ST UNIT K
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2026
Mailing Address - Country:US
Mailing Address - Phone:703-980-0467
Mailing Address - Fax:
Practice Address - Street 1:605 MAIN ST UNIT K
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2026
Practice Address - Country:US
Practice Address - Phone:703-980-0467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-10
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities