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NPI Code Detail

MEDICARE: RUXTON HEALTH OF NORFOLK, LLC

MEDICARE: RUXTON HEALTH OF NORFOLK, 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 Facility

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 : 1912062175
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUXTON HEALTH OF NORFOLK, LLC
Provider Business Mailing Address
First Line : 10420 LITTLE PATUXENT PKWY
Second Line : SUITE 210
City : COLUMBIA
State : MD
Zip : 21044-3533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 827 NORVIEW AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23509-1540
Country : US
Telephone Number : 757-853-6281
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. EAMONN REILLY
Credential :
Telephone Number : 410-715-8900
Provider Enumeration Date : 12/27/2006
Last Update Date : 04/16/2009

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