Organization
CCJ ADULT CARE V LLC
Active
Other names
Golden Years Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE R HOSCH (ADMINISTRATOR/OPERATOR)
(980) 295-3020
Entity
Organization
Contact information
Practice address
630 SUGAR HILL RD, LAWNDALE, NC 28090-9493
(980) 295-3020
(704) 406-9372
Mailing address
100 W MAIN AVE APT 302, GASTONIA, NC 28052-4172
(980) 295-3020
(704) 406-9372
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
05/06/2026
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