Organization
WORTHINGTON HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL WORTHINGTON (REPRESENTATIVE)
(336) 965-0153
Entity
Organization
Contact information
Practice address
818 W TERRELL ST, GREENSBORO, NC 27406-2750
(336) 965-0153
Mailing address
4104 SACRAMENTO DR, GREENSBORO, NC 27406-6323
(336) 965-0153
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
263875
NC
251K00000X
Public Health or Welfare Agency
263875
NC
252Y00000X
Early Intervention Provider Agency
263875
NC
253J00000X
Foster Care Agency
263875
NC
253Z00000X
In Home Supportive Care Agency
263875
NC
283X00000X
Rehabilitation Hospital
263875
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
263875
NC
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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