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NPI Code Detail

MEDICARE: WORTHINGTON HOME CARE AGENCY, LLC

MEDICARE: WORTHINGTON HOME CARE AGENCY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1083124226
Entity Type Code : Organization
Provider Name (Legal Business Name) : WORTHINGTON HOME CARE AGENCY, LLC
Provider Business Mailing Address
First Line : 308 ROSECLIFF DR
Second Line :
City : DOUGLASSVILLE
State : PA
Zip : 19518-9503
Country : US
Telephone Number : 610-489-4663
Fax Number :
Provider Business Practice Location Address
First Line : 409 SECOND AVE STE 302
Second Line :
City : COLLEGEVILLE
State : PA
Zip : 19426-3625
Country : US
Telephone Number : 610-489-4663
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : MARIAN WORTHINGTON
Credential :
Telephone Number : 610-489-4663
Provider Enumeration Date : 10/02/2017
Last Update Date : 10/02/2017

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Directions to “WORTHINGTON HOME CARE AGENCY, LLC ” Practice Location

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