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Organization

SPRUCE LTC GROUP, LLC

Active
Other names
Pine Ridge 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
706 PINEYWOOD RD, THOMASVILLE, NC 27360-2753
(336) 475-9116
(336) 475-9120
Mailing address
706 PINEYWOOD RD, THOMASVILLE, NC 27360-2753
(336) 475-9116
(336) 475-9120

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0187
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0097U
BC/BS OF NC
NC
01
20575
PARTNERS INSURANCE
NC
05
3415144
NC
05
3425144
NC
01
71-08235
UNITED HEALTHCARE
NC
Enumeration date
06/21/2006
Last updated
07/16/2021
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