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Organization
RIVER NEUSE GROUP, LLC
Active
Organization
RIVER NEUSE GROUP, LLC
Active
Parent organization
PRINCIPLE LONG TERM CARE, INC.
Other names
Ayden Court Nursing and Rehabilitation Center.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCIPLE LONG TERM CARE, INC.
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
128 SNOW HILL ST, AYDEN, NC 28513-7237
(252) 746-8223
(252) 746-2913
Mailing address
128 SNOW HILL ST, AYDEN, NC 28513-7237
(252) 746-8223
(252) 746-2913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0582
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097T
BLUE CROSS BLUE SHIELD
NC
05
—
3405490
—
NC
05
—
340612M
—
NC
05
—
3415490
—
NC
Enumeration date
07/05/2006
Last updated
07/16/2021
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