Individual
LORI CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 3RD ST SE, CONOVER, NC 28613-1813
(828) 464-3430
Mailing address
906 3RD ST SE, CONOVER, NC 28613-1813
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL 018-026
NC
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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