| Organization Name: | WORTHINGTON HEALTH SERVICES LLC |
| NPI Number: | 1649666876 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHALL WORTHINGTON (REPRESENTATIVE) |
| Mailing Address: | 818 W Terrell St Greensboro |
| State: | NC US |
| Postal Code: | 274062750 |
| Phone Number: | 3369650153 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2015 |
| NPI Last Update Date: | 04/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 263875 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |