Organization
INTREPID OF NORTH CAROLINA INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY PERRY (CEO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
343 E SIX FORKS RD, SUITE 100, RALEIGH, NC 27609-7800
(800) 420-0081
(919) 855-9981
Mailing address
4055 VALLEY VIEW LN, 5TH FLOOR, DALLAS, TX 75244-5074
(214) 445-3750
(214) 445-3902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408977
—
NC
Enumeration date
11/22/2005
Last updated
07/18/2011
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