Organization
CCJ ADULT CARE II LLC
Active
Other names
OpenView Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE R HOSCH (ADMINISTRATOR/OPERATOR)
(980) 295-3020
Entity
Organization
Contact information
Practice address
112 PONY BARN RD, LAWNDALE, NC 28090-9466
(704) 538-8026
(704) 671-2192
Mailing address
PO BOX 74, BESSEMER CITY, NC 28016-0074
(980) 295-3020
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAL-023-049
STATE OF NC
NC
Enumeration date
09/03/2021
Last updated
09/03/2021
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