Organization
INTREPID OF THE ROLLING HILLS, 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
201 SUFFOLK AVE FL 2, RICHLANDS, VA 24641-2436
(276) 596-9233
(276) 596-9643
Mailing address
14841 DALLAS PKWY STE 625, DALLAS, TX 75254-7641
(214) 445-3750
(214) 445-3900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49Q7456002
MEDICARE BRANCH ID
VA
Enumeration date
05/07/2014
Last updated
11/08/2022
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