Organization
F.C. OF VIRGINIA, INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M. KUNYSZ JR. (CEO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
4510 HOLLAND OFFICE PARK STE 503, VIRGINIA BEACH, VA 23452-1140
(757) 787-7202
Mailing address
3220 KELLER SPRINGS RD STE 108, CARROLLTON, TX 75006-5911
(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
—
49D0886958
CLIA
VA
Enumeration date
10/16/2017
Last updated
01/30/2019
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