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General NPI Number Information
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NPI Number | 1659917979
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Entity Type | Organization
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Legal Business Name | CAPITOL HEALTHCARE INC
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 9766 WATERMAN RD STE L3
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City | ELK GROVE
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State | CA
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Zip | 95624-9472
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Country | US
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Telephone | 916-667-3876
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Fax | 916-895-2807
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Provider Business Mailing Address
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Address Line | 9766 WATERMAN RD STE L3
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City | ELK GROVE
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State | CA
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Zip | 95624-9472
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Country | US
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Telephone | 916-667-3876
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Fax | 916-895-2807
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Authorized Official
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Title or Position | PRESIDENT
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Name | MALIHA AGLORIA
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Credential |
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Telephone | 513-309-1595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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