Organization
COMMAND THE LAND VENTURES LLC- AMPLIFY HEALTH PROTECTED SERIES
Active
Other names
Amplify Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WILLIAMS (OWNER)
(817) 600-4073
Entity
Organization
Contact information
Practice address
6123 E GRAND AVE, DALLAS, TX 75223-1452
(817) 242-9538
Mailing address
3540 E BROAD ST STE 120345, MANSFIELD, TX 76063-5633
(817) 242-9538
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/27/2023
Last updated
08/01/2024
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