# THE HERITAGE OF CEDAR ROCK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265608467
- **Authorized official:** MR. CHARLES VANN PIERCE (OWNER)
- **Authorized official phone:** (336) 643-0555

## Contact information

- **Practice address:** 191 CRESTVIEW DR, MOCKSVILLE, NC 27028-2643
- **Practice address phone:** (336) 751-1515
- **Practice address fax:** (336) 751-1621
- **Mailing address:** PO BOX 878, OAK RIDGE, NC 27310-0878
- **Mailing address phone:** (336) 643-0555
- **Mailing address fax:** (336) 643-0553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | HAL030007 | NC | — |
| 311ZA0620X | Adult Care Home Facility | HAL-030-007 | NC | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 06/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7806011 | — | NC |