Capital Care Services
Skilled Nursing Facility, Nursing Care, Pediatric in Saint Paul, MN. Organization (NPI-2).
NPI number1730433525
StatusActive
Last updated in NPPESNov 2, 2012
Details
- NPI
- 1730433525
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital Care Services
- Organization subpart
- No
- Enumeration date
- Nov 1, 2012
- Last updated
- Nov 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3140N1450X | Skilled Nursing Facility, Nursing Care, Pediatric | – | MN | Yes |
Practice location
2380 Wycliff StSte. 200 Rm 16
Saint Paul, MN 55114-1279
Phone 651-683-2086 · Fax 651-683-2147
Mailing address
2380 Wycliff StSte. 200 Rm 16
Saint Paul, MN 55114-1279
Phone 651-683-2086 · Fax 651-683-2147
Authorized official
William Tyrone Davis
President
6516832086
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