ARCHIE CROCKER

KINGS MOUNTAIN, NC
NPI1720117526
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: NC  FCL 023-010)
Enumeration Date2007-03-05
Last Update Date2007-07-09
Business Address
-- ARCHIE CROCKER
429 CROCKER RD
KINGS MOUNTAIN, NC 28086-4004
Phone number: 704-739-6429
Mailing Address
-- ARCHIE CROCKER
102 COUNTRY CREEK DR
KINGS MOUNTAIN, NC 28086-8903
Phone number: