Organization · Type 2 NPI

CCJ Adult Care IV LLC

Custodial Care Facility · Cherryville, NC

NPI number 1558038174 Active

Practice location

101 Olde Coach Lane
Cherryville, NC 28021

Mailing address

PO Box 74
Bessemer City, NC 28016-0074

Other practice locations

  • 100 W Main Ave Apt 302, Gastonia, NC 28052-4172 · (980) 295-3020

Specialties and licenses

TaxonomyCodeLicense
Custodial Care Facility Primary 311Z00000XNone listed

Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…

About NPI 1558038174

CCJ Adult Care IV LLC's National Provider Identifier is 1558038174, issued on Aug 23, 2021. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Cherryville, NC. The record was last updated on Aug 24, 2021.