# INTREPID OF DELMARVA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intrepid USA Healthcare Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427030006
- **Authorized official:** ROBERT PARKER (CCO)
- **Authorized official phone:** (214) 445-3773

## Contact information

- **Practice address:** 165 MARKET ST STE 2, ONANCOCK, VA 23417-4233
- **Practice address phone:** (757) 787-7202
- **Practice address fax:** (757) 787-9307
- **Mailing address:** 14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
- **Mailing address phone:** (214) 445-3750
- **Mailing address fax:** (214) 445-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 05/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010089948 | — | VA |