OrganizationActive
Amazing Queens Group Home LLC
NPI 1821985375 · Mental Illness Community Based Residential Treatment Facility · Pinetops, NC
Provider details
- NPI number
- 1821985375
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tawanda Tillery, Owner(252) 640-9194
Specialties & taxonomies
Residential Treatment Facilities
Practice location
910 Jenkins Farm Rd
Pinetops, NC 27864-7022
Phone: (252) 640-9194
Approximate (ZIP-level) locationGet directions
Mailing address
910 Jenkins Farm Rd
Pinetops, NC 27864-7022
Registry dates
- Enumerated
- 2025-06-18
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.