Organization
INTREPID OF THE LOWCOUNTRY, INC.
Active
Other names
Intrepid USA Hospice - Low Country
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 130B, SUMMERVILLE, SC 29486-7722
(843) 553-2503
(843) 766-0500
Mailing address
14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
(214) 445-3750
(214) 445-3950
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HPC-0228
STATE LICENSE NUMBER
SC
05
—
HSP165
—
SC
Enumeration date
11/25/2015
Last updated
11/09/2022
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