Organization
FC OF SOUTH 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
201 SIGMA DR STE 130A, SUMMERVILLE, SC 29486-7722
(843) 569-3516
(843) 569-5652
Mailing address
14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
(214) 445-3750
(214) 445-3900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA180
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA180
—
SC
Enumeration date
11/30/2005
Last updated
11/08/2022
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