Provider Demographics
NPI:1124816103
Name:QUEENS AND KINGS HOME LLC
Entity type:Organization
Organization Name:QUEENS AND KINGS HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OWUSU
Authorized Official - Middle Name:
Authorized Official - Last Name:AMANING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-423-3653
Mailing Address - Street 1:44 N CANNON DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-3310
Mailing Address - Country:US
Mailing Address - Phone:267-423-3653
Mailing Address - Fax:
Practice Address - Street 1:44 N CANNON DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-3310
Practice Address - Country:US
Practice Address - Phone:267-423-3653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness