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Organization

HERITAGE CARE OF CONOVER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACKIE CAROLINE PIERCE (MANAGING PARTNER)
(336) 643-0555
Entity
Organization

Contact information

Practice address
3430 LESTER ST, CONOVER, NC 28613-9685
(828) 256-9868
(828) 256-4971
Mailing address
PO BOX 878, OAK RIDGE, NC 27310-0878
(336) 643-0555
(336) 643-0553

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
HAL-018-018
NC
311ZA0620X
Adult Care Home Facility
Primary
HAL-018-018
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804342
NC
Enumeration date
03/05/2007
Last updated
06/25/2013
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