Ccj Adult Care II LLC
NPI #1295403137 in Lawndale, North Carolina
Provider Information
- NPI Number
- 1295403137
- Entity Type
- Organization
- Organization Name
- Ccj Adult Care II LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Sep 3, 2021
- Last Updated
- Sep 3, 2021
Practice Location
- Address
- 112 PONY BARN RD
- City
- Lawndale
- State
- North Carolina
- ZIP Code
- 28090-9466
- Phone
- (704) 538-8026
Authorized Official
- Name
- BERNICE R HOSCH
- Title
- ADMINISTRATOR/OPERATOR
- Phone
- (980) 295-3020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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