Healthcare Provider Details

I. General information

NPI: 1457526956
Provider Name (Legal Business Name): CAPITAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 BELLEVUE AVE
TRENTON NJ
08618-4514
US

IV. Provider business mailing address

433 BELLEVUE AVE
TRENTON NJ
08618-4514
US

V. Phone/Fax

Practice location:
  • Phone: 609-394-4387
  • Fax:
Mailing address:
  • Phone: 609-394-4387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: NANCY SCHLITTER
Title or Position: DIRECTOR
Credential:
Phone: 609-394-4023