Organization
INTREPID OF JAMES RIVER, 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
3700 FESTIVAL PARK PLZ # 3A, CHESTER, VA 23831-4415
(804) 768-9080
(804) 768-9011
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010092591
—
VA
Enumeration date
11/18/2005
Last updated
11/08/2022
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