Organization
SPRUCE LTC GROUP, LLC
Active
Other names
Richmond Pines Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
769 OLD CHERAW HWY, HAMLET, NC 28345
(910) 582-0021
(910) 205-0244
Mailing address
PO BOX 1489, HAMLET, NC 28345-1489
(910) 582-0021
(910) 205-0244
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0455
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098H
BC/BS OF NC
NC
05
—
3405293
—
NC
05
—
3415293
—
NC
Enumeration date
06/30/2006
Last updated
07/16/2021
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