Provider Demographics
NPI:1558942771
Name:WORLEY, EMILE
Entity Type:Individual
Prefix:
First Name:EMILE
Middle Name:
Last Name:WORLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6813 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1800
Mailing Address - Country:US
Mailing Address - Phone:720-486-1718
Mailing Address - Fax:410-946-2010
Practice Address - Street 1:6813 RIVERDALE RD
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1800
Practice Address - Country:US
Practice Address - Phone:720-486-1718
Practice Address - Fax:410-946-2010
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002473374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide