# SPRUCE LTC GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700812146
- **Authorized official:** GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 403 CRESTVIEW AVE SW, WILSON, NC 27893-4505
- **Practice address phone:** (252) 237-0724
- **Practice address fax:** (252) 234-0499
- **Mailing address:** 403 CRESTVIEW AVE SW, WILSON, NC 27893-4505
- **Mailing address phone:** (252) 237-0724
- **Mailing address fax:** (252) 234-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0218 | NC | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0097L | BC/BS OF NC | NC |
| 05 | — | 3405372 | — | NC |
| 05 | — | 3415372 | — | NC |