Organization
SPRUCE LTC GROUP, LLC
Active
Other names
Bethany Woods 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
33426 OLD SALISBURY RD, ALBEMARLE, NC 28001-8342
(704) 983-1195
(704) 982-0446
Mailing address
PO BOX 1250, 33426 OLD SALISBURY ROAD, ALBEMARLE, NC 28002-1250
(704) 983-1195
(704) 982-0446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096L
BLUE CROSS/BLUE SHIELD
NC
05
—
3406509
—
NC
05
—
3425146
—
NC
Enumeration date
06/21/2006
Last updated
07/16/2021
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