Organization
EAGLE PEAK LTC GROUP, LLC
Active
Other names
Enfield Oaks Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
208 CARY ST, ENFIELD, NC 27823-1204
(252) 445-2111
(252) 445-5646
Mailing address
1435 HIGHWAY 258N, KINSTON, NC 28504-7208
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085D
BC/BS OF NC
NC
05
—
3415101
—
NC
05
—
3416559
—
NC
05
—
3425101
—
NC
01
—
91-0085D
STATE HEALTH PLAN
NC
Enumeration date
06/25/2006
Last updated
03/24/2020
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