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Search › North Carolina › 310400000X

Archie Crocker

NPI 1720117526 · on the registry since 2007 · sole proprietor

Practice

Address
429 Crocker Rd
Kings Mountain, NC 28086
Phone
(704) 739-6429
Organisation at this address
Divine Care Home
Heavenly Touch Care Home
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
310400000X
310400000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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