Organization
RUXTON HEALTH CARE XIII, LLC
Active
Other names
Ruxton Health of Lawrenceville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EAMONN DENNIS REILLY (CEO)
(410) 715-8900
Entity
Organization
Contact information
Practice address
1722 LAWRENCEVILLE PLANK RD, LAWRENCEVILLE, VA 23868-3351
(434) 848-4766
(434) 848-3479
Mailing address
1722 LAWRENCEVILLE PLANK RD, LAWRENCEVILLE, VA 23868-3351
(434) 848-4766
(434) 848-3479
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2515
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4951921
—
VA
Enumeration date
07/27/2006
Last updated
08/22/2020
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