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Organization
SNOWSHOE LTC GROUP, LLC
Active
Organization
SNOWSHOE LTC GROUP, LLC
Active
Other names
Greenhaven Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
801 GREENHAVEN DR, GREENSBORO, NC 27406-7103
(336) 292-8371
(336) 299-8414
Mailing address
801 GREENHAVEN DR, GREENSBORO, NC 27406-7103
(336) 292-8371
(336) 299-8414
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00870
BC/BS OF NC
NC
01
—
26711
PARTNERS INSURANCE
NC
05
—
3416303
—
NC
05
—
3425132
—
NC
05
—
3435132
—
NC
01
—
7108249
UNITED HEALTHCARE
NC
Enumeration date
07/05/2006
Last updated
07/09/2021
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