Organization
SNOWSHOE LTC GROUP, LLC
Active
Other names
Greenhaven 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
801 GREENHAVEN DR, GREENSBORO, NC 27406-7103
(336) 292-8371
(336) 299-8414
Mailing address
801 GREENHAVEN DR, GREENSBORO, NC 27406-7103
(336) 292-8371
(336) 299-8414
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00870
BC/BS OF NC
NC
01
—
26711
PARTNERS INSURANCE
NC
05
—
3416303
—
NC
05
—
3425132
—
NC
05
—
3435132
—
NC
01
—
7108249
UNITED HEALTHCARE
NC
Enumeration date
07/05/2006
Last updated
07/09/2021
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