Healthcare Provider Details

I. General information

NPI: 1386697217
Provider Name (Legal Business Name): RUXTON HEALTH OF WINCHESTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 04/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 LAUCK DR
WINCHESTER VA
22603-4282
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 540-667-7830
  • Fax: 540-667-2941
Mailing address:
  • Phone: 410-715-8900
  • Fax: 410-715-8786

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 DENNIS REILLY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 410-715-8900