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Bynum'S Place LLC — NPI 1437292364, Manson, NC | NPI Central

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NPI 1437292364

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

More NC providers

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.