# EAGLE PEAK LTC GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Enfield Oaks Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821024274
- **Authorized official:** MS. GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 208 CARY ST, ENFIELD, NC 27823-1204
- **Practice address phone:** (252) 445-2111
- **Practice address fax:** (252) 445-5646
- **Mailing address:** 1435 HIGHWAY 258N, KINSTON, NC 28504-7208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0037 | NC | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 03/24/2020

## 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 |