Organization
RIVER NEUSE GROUP, LLC
Active
Other names
Grantsbrook 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
290 KEEL RD, GRANTSBORO, NC 28529-9424
(252) 745-5005
(252) 745-7064
Mailing address
290 KEEL RD, GRANTSBORO, NC 28529-9424
(252) 745-5005
(252) 745-7064
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098F
BLUE CROSS/BLUE SHIELD
NC
05
—
3415292
—
NC
05
—
3416473
—
NC
05
—
3425292
—
NC
Enumeration date
06/25/2006
Last updated
07/16/2021
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