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NPI Code Detail

MEDICARE: RUXTON HEALTH CARE V, LLC

MEDICARE: RUXTON HEALTH CARE V, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH2535VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760406185
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUXTON HEALTH CARE V, LLC
Provider Business Mailing Address
First Line : 7246 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1524
Country : US
Telephone Number : 804-320-7901
Fax Number : 804-272-7129
Provider Business Practice Location Address
First Line : 7246 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1524
Country : US
Telephone Number : 804-320-7901
Fax Number : 804-272-7129
Authorized Official
Title or Position : CEO
Name : MR. EAMONN DENNIS REILLY
Credential :
Telephone Number : 410-715-8900
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/22/2020

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Directions to “RUXTON HEALTH CARE V, LLC ” Practice Location

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