Organization · Type 2 NPI
CCJ Adult Care II LLC
Adult Care Home Facility · Lawndale, NC
NPI number
1295403137
Active
Practice location
112 Pony Barn Rd
Lawndale, NC 28090-9466
Fax (704) 671-2192
Mailing address
PO Box 74
Bessemer City, NC 28016-0074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in Lawndale
About NPI 1295403137
CCJ Adult Care II LLC's National Provider Identifier is 1295403137, issued on Sep 3, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lawndale, NC. The record was last updated on Sep 3, 2021.