Archie Crocker
NPI #1720117526 in Kings Mountain, North Carolina
Provider Information
- NPI Number
- 1720117526
- Entity Type
- Individual
- Name
- Archie Crocker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 429 CROCKER RD
- City
- Kings Mountain
- State
- North Carolina
- ZIP Code
- 28086-4004
- Phone
- (704) 739-6429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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