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Organization
SPRUCE LTC GROUP, LLC
Active
Organization
SPRUCE LTC GROUP, LLC
Active
Other names
Clear Creek 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
10506 CLEAR CREEK COMMERCE DR, MINT HILL, NC 28227-7078
(704) 545-2377
(252) 939-4254
Mailing address
PO BOX 6249, KINSTON, NC 28501-0249
(252) 523-9094
(252) 939-4101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH0635
NURSING HOME LICENSE
NC
Enumeration date
09/05/2013
Last updated
07/16/2021
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