Individual provider · Type 1 NPI
Archie Crocker
Assisted Living Facility · Kings Mountain, NC
NPI number
1720117526
Active
Practice location
429 Crocker Rd
Kings Mountain, NC 28086-4004
Mailing address
102 Country Creek Dr
Kings Mountain, NC 28086-8903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | FCL 023-010 (NC) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2 other providers at this address
About NPI 1720117526
Archie Crocker's National Provider Identifier is 1720117526, issued on Mar 5, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kings Mountain, NC. The record was last updated on Jul 9, 2007.