Organization
LORI CROUCH
Active
Other names
Professional Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
LORI CROUCH (OWNER)
(828) 464-3430
Entity
Organization
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805727
—
NC
Enumeration date
03/31/2007
Last updated
06/17/2008
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