Archie Crocker
Archie Crocker is an Assisted Living Facility in Kings Mountain, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
429 Crocker RdKings Mountain, NC 28086-4004
Phone: (704) 739-6429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence FCL 023-010 (NC) |
|---|
Record details
| NPI number | 1720117526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2007 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 102 Country Creek Dr, Kings Mountain, NC 28086-8903 |
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