Provider Demographics
NPI:1326852757
Name:AMAZING ADULTS OF NC, LLC
Entity type:Organization
Organization Name:AMAZING ADULTS OF NC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER / DIRECTOR / CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:DUNBAR
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-435-6970
Mailing Address - Street 1:PO BOX 755
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-0755
Mailing Address - Country:US
Mailing Address - Phone:919-435-6970
Mailing Address - Fax:919-263-8503
Practice Address - Street 1:13 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525-1509
Practice Address - Country:US
Practice Address - Phone:919-435-6970
Practice Address - Fax:919-263-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management