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Organization
NC HHA INC
Active
Organization
NC HHA INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY PERRY (CEO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
1170 EAST BROAD STREET, SUITE 101, ELYRIA, OH 44035-6351
(440) 323-7300
(440) 324-3463
Mailing address
4055 VALLEY VIEW LANE, 5TH FLOOR, DALLAS, TX 75244-5074
(214) 445-3750
(214) 445-3902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0746581
—
OH
Enumeration date
09/15/2010
Last updated
07/18/2011
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