Organization
F.C. OF MISSISSIPPI, INC.
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M NIX (CFO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
885 FERNCLIFF DRIVE, SUTIES 1 & 3, SOUTHAVEN, MS 38671-2433
(662) 393-0109
(662) 393-4306
Mailing address
3220 KELLER SPRINGS RD STE 108, CARROLLTON, TX 75006-5911
(214) 442-0967
(214) 445-3994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7294
MS
Other
Enumeration date
11/20/2015
Last updated
10/01/2019
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