Organization
SNOWSHOE LTC GROUP, LLC
Active
Other names
Maple Grove Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
308 W MEADOWVIEW RD, GREENSBORO, NC 27406-3610
(336) 230-0534
(336) 230-1664
Mailing address
308 W MEADOWVIEW RD, GREENSBORO, NC 27406-3610
(336) 230-0534
(336) 230-1664
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080N
BC/BS OF NC
NC
05
—
3425448
—
NC
05
—
3435448
—
NC
01
—
561370182
UNITED HEALTHCARE
NC
05
—
7806638
—
NC
Enumeration date
06/24/2006
Last updated
07/09/2021
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