Individual
SHERI ANN BENYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 JOSEPH WILLETTS DR SE, WINNABOW, NC 28479-5047
(910) 264-6213
(910) 253-6214
Mailing address
800 JOSEPH WILLETTS DR SE, WINNABOW, NC 28479-5047
(910) 264-6213
(910) 253-6214
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-010-077
NC
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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