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Ccj Adult Care Llc
Adult Care Home Facility in Crouse, North Carolina
NPI 1063189678

Ccj Adult Care Llc is an Adult Care Home Facility based in Bessemer City, NC and is specialized in Adult Care Home. Ccj Adult Care Llc practices in Crouse, NC. The NPI Number for Ccj Adult Care Llc is 1063189678 and holds a License No. (North Carolina).

The current practice location address for Ccj Adult Care Llc is 1230 Saint Marks Church Rd, Crouse, NC and can be reached out via phone at 704-769-4101.

Location: 1230 Saint Marks Church Rd, Crouse, NC, 28016-0074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063189678
Provider Name
Ccj Adult Care Llc
Credential
Provider Entity Type
Organization
Address
1230 Saint Marks Church Rd, Crouse, NC, 28016-0074
Phone Number
704-769-4101
Fax Number
Provider Enumeration Date
08/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FCL-036-034 01 NC FAMILY CARE HOME
institution
Provider Business Practice Location Address Details
Address
1230 Saint Marks Church Rd
City
Crouse
State
North Carolina
Zip
28033-9600
Phone Number
704-769-4101
Fax Number
person
Provider Business Mailing Address Details
Address
1230 Saint Marks Church Rd
City
Crouse
State
North Carolina
Zip
28033-9600
Phone Number
704-769-4101
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
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.
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