# RIVER NEUSE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grantsbrook Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407882830
- **Authorized official:** GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 290 KEEL RD, GRANTSBORO, NC 28529-9424
- **Practice address phone:** (252) 745-5005
- **Practice address fax:** (252) 745-7064
- **Mailing address:** 290 KEEL RD, GRANTSBORO, NC 28529-9424
- **Mailing address phone:** (252) 745-5005
- **Mailing address fax:** (252) 745-7064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0450 | NC | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 07/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0098F | BLUE CROSS/BLUE SHIELD | NC |
| 05 | — | 3415292 | — | NC |
| 05 | — | 3416473 | — | NC |
| 05 | — | 3425292 | — | NC |