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Ccj Adult Care Ii Llc
Adult Care Home Facility in Lawndale, North Carolina
NPI 1295403137

Ccj Adult Care Ii Llc is an Adult Care Home Facility based in Bessemer City, NC and is specialized in Adult Care Home. Ccj Adult Care Ii Llc practices in Lawndale, NC. The NPI Number for Ccj Adult Care Ii Llc is 1295403137 and holds a License No. (North Carolina).

The current practice location address for Ccj Adult Care Ii Llc is 112 Pony Barn Rd, Lawndale, NC and can be reached out via phone at 704-538-8026 and via fax at 704-671-2192.

Location: 112 Pony Barn Rd, Lawndale, NC, 28016-0074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295403137
Provider Name
Ccj Adult Care Ii Llc
Credential
Provider Entity Type
Organization
Address
112 Pony Barn Rd, Lawndale, NC, 28016-0074
Phone Number
704-538-8026
Fax Number
704-671-2192
Provider Enumeration Date
09/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HAL-023-049 01 NC STATE OF NC
institution
Provider Business Practice Location Address Details
Address
112 Pony Barn Rd
City
Lawndale
State
North Carolina
Zip
28090-9466
Phone Number
704-538-8026
Fax Number
704-671-2192
person
Provider Business Mailing Address Details
Address
112 Pony Barn Rd
City
Lawndale
State
North Carolina
Zip
28090-9466
Phone Number
704-538-8026
Fax Number
704-671-2192
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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