institution
Intrepid Of Louisiana Inc
Home Health Agency in Opelousas, Louisiana
NPI 1851373492

Intrepid Of Louisiana Inc is a Home Health Agency based in Dallas, LA. Intrepid Of Louisiana Inc practices in Opelousas, LA. The NPI Number for Intrepid Of Louisiana Inc is 1851373492 and holds a License No. 1169 (Louisiana).

The current practice location address for Intrepid Of Louisiana Inc is 1200 Hospital Dr Ste 8, Opelousas, LA and can be reached out via phone at 337-546-0997 and via fax at 337-546-0452. You can also correspond with Intrepid Of Louisiana Inc through the mailing address at 14841 DALLAS PKWY STE 625, DALLAS, TX - 75254-7641 (mailing address contact number: 214-445-3750).

Location: 1200 Hospital Dr Ste 8, Opelousas, LA, 75254-7641
institution
Provider Profile Details
NPI Number
1851373492
Provider Name
Intrepid Of Louisiana Inc
Credential
Provider Entity Type
Organization
Address
1200 Hospital Dr Ste 8, Opelousas, LA, 75254-7641
Phone Number
337-546-0997
Fax Number
337-546-0452
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19D0894636 01 LA CLIA CERTIFICATE OF WAIVER
1404357 05 LA
institution
Provider Business Practice Location Address Details
Address
1200 Hospital Dr Ste 8
City
State
Zip
70570-6552
Phone Number
337-546-0997
Fax Number
337-546-0452
person
Provider Business Mailing Address Details
Address
1200 Hospital Dr Ste 8
City
State
Zip
70570-6552
Phone Number
337-546-0997
Fax Number
337-546-0452
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
1169 (Louisiana)
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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