Organization
THE HERITAGE OF CEDAR ROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES VANN PIERCE (OWNER)
(336) 643-0555
Entity
Organization
Contact information
Practice address
191 CRESTVIEW DR, MOCKSVILLE, NC 27028-2643
(336) 751-1515
(336) 751-1621
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
HAL030007
NC
311ZA0620X
Adult Care Home Facility
Primary
HAL-030-007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806011
—
NC
Enumeration date
05/07/2008
Last updated
06/26/2013
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