Organization
CAPITOL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI FRADE (DIRECTOR OF SUPPORT SERVICES)
(844) 437-3482
Entity
Organization
Contact information
Practice address
31 WEST HIGH STREET, ANDOVER BORO, NJ 07821-4503
(844) 437-3482
Mailing address
31 WEST HIGH STREET, ANDOVER BORO, NJ 07821-4503
(844) 437-3482
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483851
—
NJ
Enumeration date
03/07/2023
Last updated
03/07/2023
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