Organization
AMPLIFIED HOME VISITING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTRE SHELLEY (CFO)
(575) 535-2499
Entity
Organization
Contact information
Practice address
2901 HUTTON AVE, FARMINGTON, NM 87402-4562
(505) 325-9109
(505) 325-9404
Mailing address
PO BOX 86, CLIFF, NM 88028-0086
(575) 535-2499
(575) 535-2493
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/03/2024
Last updated
06/18/2025
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