OrganizationActive
Bynum'S Place LLC
NPI 1437292364 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Manson, NC
Provider details
- NPI number
- 1437292364
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Moore Bynum, Owner(252) 915-9174
- License
- MHL091077 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL091077 (NC)
Residential Treatment Facilities
Practice location
1455 Bullocksville Road
Manson, NC 27553-9765
Phone: (252) 456-6534
Approximate (ZIP-level) locationGet directions
Mailing address
1455 Bullocksville Road
Manson, NC 27553-9765
Other names (DBA / former)
- Doing business as
- Jeremiah'S Place
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.