Organization
INTREPID USA
Active
Parent organization
INTREPID USA
Other names
Intrepid USA
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTREPID USA
Authorized official
ALICIA A CLINE (ADMINISTRATOR)
(952) 513-5400
Entity
Organization
Contact information
Practice address
5775 WAYZATA BLVD STE 540, ST LOUIS PARK, MN 55416-1230
(952) 513-5400
(952) 513-5444
Mailing address
5775 WAYZATA BLVD STE 540, ST LOUIS PARK, MN 55416-1230
(952) 513-5400
(952) 513-5444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
326853
MN
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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