Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ARCHIE CROCKER
Active Sole ProprietorARCHIE CROCKER is a Assisted Living Facility healthcare provider located in KINGS MOUNTAIN, North Carolina. NPI 1720117526 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · KINGS MOUNTAIN, NC
Registration Details
- NPI Number
- 1720117526
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2007 (19.462352360403 yrs)
- Last Updated
- Jul 9, 2007
- License
-
FCL 023-010 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
429 CROCKER RDKINGS MOUNTAIN, NC, 280864004Browse NC providers · Browse ZIP 28086
- Phone
- 7047396429
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.