Organization
SNOWSHOE LTC GROUP, LLC
Active
Other names
Piney Grove 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
728 PINEY GROVE RD, KERNERSVILLE, NC 27284-2335
(336) 996-4038
(336) 996-0644
Mailing address
728 PINEY GROVE RD, KERNERSVILLE, NC 27284-2335
(336) 996-4038
(336) 996-0644
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0256
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098C
BC/BS OF NC
NC
01
—
15934
PARTNERS INSURANCE #
NC
05
—
3405354
—
NC
05
—
3415354
—
NC
01
—
7108231
UNITED HEALTHCARE #
NC
Enumeration date
06/23/2006
Last updated
07/09/2021
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