# F.C. OF VIRGINIA, INC

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

## Provider details

- **NPI number:** 1760993869
- **Authorized official:** JOHN M. KUNYSZ JR. (CEO)
- **Authorized official phone:** (214) 445-3750

## Contact information

- **Practice address:** 4510 HOLLAND OFFICE PARK STE 503, VIRGINIA BEACH, VA 23452-1140
- **Practice address phone:** (757) 787-7202
- **Mailing address:** 3220 KELLER SPRINGS RD STE 108, CARROLLTON, TX 75006-5911
- **Mailing address phone:** (214) 445-3750
- **Mailing address fax:** (214) 445-3900

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2017
- **Last updated:** 01/30/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 49D0886958 | CLIA | VA |