# BYNUM'S PLACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael's Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588706667
- **Authorized official:** MOORE BYNUM (OWNER)
- **Authorized official phone:** (252) 915-9174

## Contact information

- **Practice address:** 4235 JACKSONTOWN RD, MANSON, NC 27553-9740
- **Practice address phone:** (252) 456-4921
- **Mailing address:** 4235 JACKSONTOWN RD, MANSON, NC 27553-9740
- **Mailing address phone:** (252) 456-4921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL091076 | NC | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020