Organization
INTREPID OF GOLDEN VALLEY 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
7300 METRO BLVD, SUITE 625, EDINA, MN 55439-2303
(952) 513-5400
(952) 513-5444
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
326853 CLASS A
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851755000
—
MN
Enumeration date
11/18/2005
Last updated
09/18/2024
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