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Organization
INTREPID OF NORTH CAROLINA INC
Active
Organization
INTREPID OF NORTH CAROLINA 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
343 E SIX FORKS RD, SUITE 100, RALEIGH, NC 27609-7800
(800) 420-0081
(919) 855-9981
Mailing address
4055 VALLEY VIEW LN, 5TH FLOOR, DALLAS, TX 75244-5074
(214) 445-3750
(214) 445-3902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408977
—
NC
Enumeration date
11/22/2005
Last updated
07/18/2011
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