Organization
SPRUCE LTC GROUP, LLC
Active
Other names
Wilson Pines 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
403 CRESTVIEW AVE SW, WILSON, NC 27893-4505
(252) 237-0724
(252) 234-0499
Mailing address
403 CRESTVIEW AVE SW, WILSON, NC 27893-4505
(252) 237-0724
(252) 234-0499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0218
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097L
BC/BS OF NC
NC
05
—
3405372
—
NC
05
—
3415372
—
NC
Enumeration date
06/25/2006
Last updated
08/12/2022
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