# XAVIER-CLINTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinton Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295732006
- **Authorized official:** MS. CHARLOTTE SKAGGS (BOM)
- **Authorized official phone:** (301) 868-3600

## Contact information

- **Practice address:** 9211 STUART LN, CLINTON, MD 20735-2712
- **Practice address phone:** (301) 868-3600
- **Practice address fax:** (301) 868-5883
- **Mailing address:** 9211 STUART LN, CLINTON, MD 20735-2712
- **Mailing address phone:** (301) 868-3600
- **Mailing address fax:** (301) 868-5883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 16001 | MD | Yes |
| 314000000X | Skilled Nursing Facility | 16001 | MD | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 09/11/2025