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Organization
F.C. OF VIRGINIA, INC
Active
Organization
F.C. OF VIRGINIA, INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M. KUNYSZ JR. (CEO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
4510 HOLLAND OFFICE PARK STE 503, VIRGINIA BEACH, VA 23452-1140
(757) 787-7202
Mailing address
3220 KELLER SPRINGS RD STE 108, CARROLLTON, TX 75006-5911
(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
—
49D0886958
CLIA
VA
Enumeration date
10/16/2017
Last updated
01/30/2019
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