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Organization
SPRUCE LTC GROUP, LLC
Active
Organization
SPRUCE LTC GROUP, LLC
Active
Other names
Pine Ridge Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
706 PINEYWOOD RD, THOMASVILLE, NC 27360-2753
(336) 475-9116
(336) 475-9120
Mailing address
706 PINEYWOOD RD, THOMASVILLE, NC 27360-2753
(336) 475-9116
(336) 475-9120
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0187
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097U
BC/BS OF NC
NC
01
—
20575
PARTNERS INSURANCE
NC
05
—
3415144
—
NC
05
—
3425144
—
NC
01
—
71-08235
UNITED HEALTHCARE
NC
Enumeration date
06/21/2006
Last updated
07/16/2021
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