| NPI | 1023224789 |
|---|---|
| Doing Business As | CAPITAL HEIGHTS HOME |
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr Asst General Counsel 952-836-2234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: TX 001014261) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2024-01-21 |