INTREPID USA HEALTHCARE SERVIC

A HOME HEALTHCARE PROVIDER

Company Name:

Medicare Provider Number:

167270

Ownership Type:

Proprietary

Date Certified:

12-12-1996

Address:

6200 AURORA AVENUE

City, State, Zip:

URBANDALE , IA 50322

County:

POLK

Country:

Phone:

5152789920

Fax:

General Email:

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	Company Name	Address	City	State	Zip
1	ULTIMATE NURSING SERVICES OF IOWA	3305 109TH STREET	URBANDALE	IA	50322