Organization
XAVIER-CLINTON LLC
Active
Other names
Clinton Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE SKAGGS (BOM)
(301) 868-3600
Entity
Organization
Contact information
Practice address
9211 STUART LN, CLINTON, MD 20735-2712
(301) 868-3600
(301) 868-5883
Mailing address
9211 STUART LN, CLINTON, MD 20735-2712
(301) 868-3600
(301) 868-5883
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
16001
MD
314000000X
Skilled Nursing Facility
16001
MD
Other
Enumeration date
07/07/2005
Last updated
09/11/2025
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