Ccj Adult Care V LLC DBA Golden Years Rest Home
NPI #1629940291 in Lawndale, North Carolina
Provider Information
- NPI Number
- 1629940291
- Entity Type
- Organization
- Organization Name
- Ccj Adult Care V LLC DBA Golden Years Rest Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 22, 2025
- Last Updated
- Sep 23, 2025
Practice Location
- Address
- 630 SUGAR HILL RD
- City
- Lawndale
- State
- North Carolina
- ZIP Code
- 28090-9493
- Phone
- (980) 295-3020
Authorized Official
- Name
- BERNICE R HOSCH
- Title
- ADMINISTRATOR/OPERATOR
- Phone
- (980) 295-3020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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