Organization
CAPITAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM TYRONE DAVIS (PRESIDENT)
(651) 683-2086
Entity
Organization
Contact information
Practice address
2380 WYCLIFF ST, STE. 200 RM 16, SAINT PAUL, MN 55114-1279
(651) 683-2086
(651) 683-2147
Mailing address
2380 WYCLIFF ST, STE. 200 RM 16, SAINT PAUL, MN 55114-1279
(651) 683-2086
(651) 683-2147
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
MN
Other
Enumeration date
11/01/2012
Last updated
11/02/2012
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