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Organization
EAGLE PEAK LTC GROUP, LLC
Active
Organization
EAGLE PEAK LTC GROUP, LLC
Active
Other names
Enfield Oaks Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
208 CARY ST, ENFIELD, NC 27823-1204
(252) 445-2111
(252) 445-5646
Mailing address
1435 HIGHWAY 258N, KINSTON, NC 28504-7208
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085D
BC/BS OF NC
NC
05
—
3415101
—
NC
05
—
3416559
—
NC
05
—
3425101
—
NC
01
—
91-0085D
STATE HEALTH PLAN
NC
Enumeration date
06/25/2006
Last updated
03/24/2020
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