Organization
RIVER NEUSE GROUP, LLC
Active
Other names
Croatan Ridge 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
210 FOXHALL RD, NEWPORT, NC 28570-6790
(252) 223-2560
(252) 223-3370
Mailing address
210 FOXHALL RD, NEWPORT, NC 28570-6790
(252) 223-2560
(252) 223-3370
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0583
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089D
BC/BS OF NC
NC
05
—
3405491
—
NC
05
—
340612H
—
NC
05
—
3415491
—
NC
Enumeration date
06/23/2006
Last updated
07/16/2021
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