Organization
WORTHAM'S GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALMEDA WORTHAM (OWNER)
(252) 257-0755
Entity
Organization
Contact information
Practice address
475 RIFLE RANGE ROAD, WARRENTON, NC 27589
(252) 257-0755
(252) 257-9147
Mailing address
475 RIFLE RANGE ROAD, WARRENTON, NC 27589
(252) 257-0755
(252) 257-9147
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
MHL-093-049
NC
Other
Enumeration date
08/28/2007
Last updated
06/20/2008
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