Healthcare Provider Details

I. General information

NPI: 1912062175
Provider Name (Legal Business Name): RUXTON HEALTH OF NORFOLK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 04/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 NORVIEW AVE
NORFOLK VA
23509-1540
US

IV. Provider business mailing address

10420 LITTLE PATUXENT PKWY SUITE 210
COLUMBIA MD
21044-3533
US

V. Phone/Fax

Practice location:
  • Phone: 757-853-6281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. EAMONN REILLY
Title or Position: PRESIDENT
Credential:
Phone: 410-715-8900