Organization
INTREPID OF NORTH CAROLINA 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
343 E SIX FORKS RD STE 130, RALEIGH, NC 27609-7785
(919) 821-9299
(919) 835-0465
Mailing address
14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
(214) 445-3750
(214) 445-3902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3427009
—
NC
Enumeration date
11/22/2005
Last updated
11/08/2022
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