Organization
INTREPID AFFILIATES INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG A VONARX (CFO)
(952) 285-7300
Entity
Organization
Contact information
Practice address
5445 SOUTH WYCK BLVD, SUITE 208, TOLEDO, OH 43614
(419) 861-2722
(419) 861-2725
Mailing address
6600 FRANCE AVENUE SOUTH, SUITE 510, EDINA, MN 55435-1804
(952) 285-7300
(952) 285-6827
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459614
—
OH
Enumeration date
11/18/2005
Last updated
08/22/2020
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