Provider Demographics
NPI:1538607510
Name:SELAH HEALTH, LLC
Entity type:Organization
Organization Name:SELAH HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUTE CARE NP
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP
Authorized Official - Phone:508-776-1009
Mailing Address - Street 1:435 MCKOY RD
Mailing Address - Street 2:
Mailing Address - City:EASTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02642-2804
Mailing Address - Country:US
Mailing Address - Phone:508-776-1009
Mailing Address - Fax:
Practice Address - Street 1:435 MCKOY RD
Practice Address - Street 2:
Practice Address - City:EASTHAM
Practice Address - State:MA
Practice Address - Zip Code:02642
Practice Address - Country:US
Practice Address - Phone:508-776-1009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA211219282N00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Yes282N00000XHospitalsGeneral Acute Care Hospital