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Ms. Kimberly Louise Bumper
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oxford, North Carolina
NPI 1679606149

Kimberly Louise Bumper is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Oxford, NC. Kimberly Louise Bumper practices in Oxford, NC. The NPI Number for Kimberly Louise Bumper is 1679606149 and holds a License No. MHL-039-042 (North Carolina).

The current practice location address for Kimberly Louise Bumper is 115 Frost St, Oxford, NC and can be reached out via phone at 191-969-3796 and via fax at 191-969-3696.

Location: 115 Frost St, Oxford, NC, 27565-3441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679606149
Provider Name
Kimberly Louise Bumper
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 Frost St, Oxford, NC, 27565-3441
Phone Number
191-969-3796
Fax Number
191-969-3696
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 Frost St
City
Oxford
State
North Carolina
Zip
27565-3441
Phone Number
191-969-3796
Fax Number
191-969-3696
person
Provider Business Mailing Address Details
Address
115 Frost St
City
Oxford
State
North Carolina
Zip
27565-3441
Phone Number
191-969-3796
Fax Number
191-969-3696
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-039-042 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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