SearchNorth Carolina171M00000X

Cameo Crumby, ADMINISTRATOR

NPI 1124507553 · on the registry since 2018

Practice

Address
3662 Patricia Dr Nw
Concord, NC 28027
Phone
(330) 329-5961
Organisation at this address
Legacy Living Homes Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina