# SPRUCE LTC GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Ridge Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982640785
- **Authorized official:** GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 706 PINEYWOOD RD, THOMASVILLE, NC 27360-2753
- **Practice address phone:** (336) 475-9116
- **Practice address fax:** (336) 475-9120
- **Mailing address:** 706 PINEYWOOD RD, THOMASVILLE, NC 27360-2753
- **Mailing address phone:** (336) 475-9116
- **Mailing address fax:** (336) 475-9120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0187 | NC | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 07/16/2021

## 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 |