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Organization
INTREPID OF THE ROLLING HILLS, INC.
Active
Organization
INTREPID OF THE ROLLING HILLS, INC.
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PARKER (CCO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
201 SUFFOLK AVE FL 2, RICHLANDS, VA 24641-2436
(276) 596-9233
(276) 596-9643
Mailing address
14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
(214) 445-3750
(214) 445-3900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49Q7456002
MEDICARE BRANCH ID
VA
Enumeration date
05/07/2014
Last updated
11/08/2022
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