Organization
FC OF VIRGINIA INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D FOSTER (CEO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
106 ROWE RD, #103, STAUNTON, VA 24401-6714
(540) 886-0342
(540) 886-0962
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010093724
—
VA
Enumeration date
11/18/2005
Last updated
04/20/2016
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