Organization
CROWDER FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM W CROWDER (OWNER)
(910) 428-4675
Entity
Organization
Contact information
Practice address
444 CRAVEN ST, STAR, NC 27356-0602
(910) 428-4675
Mailing address
PO BOX 602, STAR, NC 27356-0602
(910) 428-4675
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL062002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801949
—
NC
Enumeration date
03/28/2007
Last updated
08/22/2020
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