Organization
RUXTON HEALTH OF WILLIAMSBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EAMONN DENNIS REILLY (CEO)
(410) 715-8900
Entity
Organization
Contact information
Practice address
1235 S MOUNT VERNON AVE, WILLIAMSBURG, VA 23185-2835
(757) 229-4121
(757) 229-6625
Mailing address
1235 S MOUNT VERNON AVE, WILLIAMSBURG, VA 23185-2835
(757) 229-4121
(757) 229-6625
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2728
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4952359
—
VA
Enumeration date
07/27/2006
Last updated
08/22/2020
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