institution
Intrepid Of Coastal Georgia, Inc.
Home Health Agency in Brunswick, Georgia
NPI 1619959251

Intrepid Of Coastal Georgia, Inc. is a Home Health Agency based in Dallas, GA. Intrepid Of Coastal Georgia, Inc. practices in Brunswick, GA. The NPI Number for Intrepid Of Coastal Georgia, Inc. is 1619959251 and holds a License No. 063277H (Georgia).

The current practice location address for Intrepid Of Coastal Georgia, Inc. is 650 Scranton Rd, Brunswick, GA and can be reached out via phone at 912-264-3640 and via fax at 912-262-0014. You can also correspond with Intrepid Of Coastal Georgia, Inc. through the mailing address at 14841 DALLAS PKWY STE 625, DALLAS, TX - 75254-7641 (mailing address contact number: 214-542-4952).

Location: 650 Scranton Rd, Brunswick, GA, 75254-7641
institution
Provider Profile Details
NPI Number
1619959251
Provider Name
Intrepid Of Coastal Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
650 Scranton Rd, Brunswick, GA, 75254-7641
Phone Number
912-264-3640
Fax Number
912-262-0014
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
392849492C 05 GA
institution
Provider Business Practice Location Address Details
Address
650 Scranton Rd
City
State
Zip
31520-1927
Phone Number
912-264-3640
Fax Number
912-262-0014
person
Provider Business Mailing Address Details
Address
14841 Dallas Pkwy Ste 625
City
State
Zip
75254-7641
Phone Number
214-542-4952
Fax Number
214-445-3900
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
063277H (Georgia)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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