Intrepid Of Indiana Inc

NPI 1205818846 - Home Health - 251E00000X

NPI Details
NPI 1205818846
Enumeration Date 11/18/2005
Last Updated 11/13/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CECELIA CECELIA
Position VP OF COMPLIANCE
Phone (812) 446-0617
Fax (812) 446-1338
Practice Location
1214 E NATIONAL AVE
STE B130
BRAZIL IN, 47834-2718, US
Phone (812) 446-0617
Fax (812) 446-1338
Business Location
4055 VALLEY VIEW LANE
5TH FLOOR
DALLAS TX, 75244-5074, US
Phone (214) 445-3750
Fax (952) 285-6327
Toxanomy
Taxonomy Code 251E00000X
License State Indiana
License Number 9753
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According to our database, Intrepid Of Indiana Inc NPI is 1205818846, taxonomy code is 251E00000X and license number is 9753, license state is located at Indiana. Intrepid Of Indiana Inc physically located at 1214 E National Ave, Brazil IN, 47834-2718. NPI Number 1033115704 has the healthcare provider type.

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1205818846 NPI number is provided on an as is basis without warranty of any kind. 1205818846 is maintained by the National Plan & Provider Enumeration System. The contents of Intrepid Of Indiana Inc are for informational purposes only.