Organization
F C OF INDIANA INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PARKER (CCO)
(214) 445-3773
Entity
Organization
Contact information
Practice address
5250 E US HIGHWAY 36 STE 1102, AVON, IN 46123-8224
(317) 334-0859
(317) 334-1205
Mailing address
14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
(214) 542-4952
(214) 445-3900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
53741
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200486080A
—
IN
Enumeration date
11/18/2005
Last updated
11/07/2022
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