Name: CCJ ADULT CARE III LLC Specialty: Adult Care Home Facility Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Nursing & Custodial Care Facilities Classification: Custodial Care Facility Specialization: Adult Care Home. Definition of Specialty: 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.
License & NPI
License #(s): , , , , License State(s): , , , ,
Practice Location: CCJ ADULT CARE III LLC,GREENE HAVEN FAMILY CARE HOME,1833 STONEY POINT RD,SHELBY,NC,281509601,US Mailing Address: CCJ ADULT CARE III LLC,GREENE HAVEN FAMILY CARE HOME,PO BOX 74,BESSEMER CITY,NC,280160074,US
Practice location phone #: 9802953020 Practice location fax #: Mailing address Phone #: 9802953020 Mailing Address fax #: Authorized official Name/Telephone #:BERNICE, R, HOSCH, ADMINISTRATOR/OPERATOR 9802953020
Date NPI was obtained: 08/23/2021 Last data data was updated: 09/15/2021 Insurances: