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Organization
SPRUCE LTC GROUP, LLC
Active
Organization
SPRUCE LTC GROUP, LLC
Active
Other names
Wilson Pines Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
403 CRESTVIEW AVE SW, WILSON, NC 27893-4505
(252) 237-0724
(252) 234-0499
Mailing address
403 CRESTVIEW AVE SW, WILSON, NC 27893-4505
(252) 237-0724
(252) 234-0499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0218
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097L
BC/BS OF NC
NC
05
—
3405372
—
NC
05
—
3415372
—
NC
Enumeration date
06/25/2006
Last updated
08/12/2022
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