Organization
INTREPID OF PIEDMONT RIDGE, INC.
Active
Other names
Intrepid USA Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PARKER (CCO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
4005 ELECTRIC RD STE 200, ROANOKE, VA 24018-8435
(540) 523-1160
(540) 265-2416
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
HSP 17230
VA
Other
Enumeration date
10/13/2016
Last updated
11/09/2022
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