Organization Name: | INTREPID U.S.A., INC. |
NPI Number: | 1184012940 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL D FOSTER (CEO) |
Mailing Address: | 106 Rowe Rd #103 Staunton |
State: | VA US |
Postal Code: | 244016714 |
Phone Number: | 5409657648 |
Fax Number: | 5409657652 |
NPI Enumeration Date: | 01/02/2015 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |