Organization
AMPLIFYED HOLDINGS CORP
Active
Organization
AMPLIFYED HOLDINGS CORP
Active
Other names
Amplifyed Health
Organization subpart
No
Provider details
NPI number
Authorized official
TACQUORA LASHAE MIXON CMA, CNA (MANAGER)
(404) 998-6903
Entity
Organization
Contact information
Practice address
2882 CHURCH ST, EAST POINT, GA 30344-3254
(404) 692-8860
Mailing address
2882 CHURCH ST, EAST POINT, GA 30344-3254
(404) 692-8860
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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