Organization
CEDAR ROCK OF MOCKSVILLE, LLC
Active
Other names
DBA CEDAR ROCK ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R HAMMONDS (GENERAL PARTNER)
(336) 595-6004
Entity
Organization
Contact information
Practice address
191 CRESTVIEW DR, MOCKSVILLE, NC 27028-2643
(336) 751-1515
Mailing address
PO BOX 1487, KERNERSVILLE, NC 27285-1487
(336) 595-1075
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NC
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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