Organization · Type 2 NPI

Spruce LTC Group, LLC

Skilled Nursing Facility · Wilson, NC

NPI number 1700812146 Active

Practice location

403 Crestview Ave SW
Wilson, NC 27893-4505

Fax (252) 234-0499

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NH0218 (NC)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

11 other providers at this address

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NPI record

NPI: 1700812146
Entity type: Organization (Type 2)
Issued: Jun 25, 2006
Last updated: Aug 12, 2022
Status: Active

Other names

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Wilson Pines Nursing and Rehabilitation Center · doing business as
Wilson Pines Nursing and Rehabilitation Center · doing business as

Authorized official

Gale Boice
CFO
(252) 523-9094

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700812146

Spruce LTC Group, LLC's National Provider Identifier is 1700812146, issued on Jun 25, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wilson, NC. The record was last updated on Aug 12, 2022.