| Organization Name: | WORMACK INC. |
| NPI Number: | 1144644915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND D. WORMACK (CEO) |
| Mailing Address: | 201 E Fairview Ave Suite 206 Connellsville |
| State: | PA US |
| Postal Code: | 154253703 |
| Phone Number: | 7245703556 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2014 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |