MARWORTH NPI 1942336391

NPI Information

  • NPI: 1942336391
  • Provider Name: MARWORTH
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 39D0988381
  • Address: LILY LAKE RD
    WAVERLY, PA
    ZIP 18471
  • Phone: (570) 563-1112

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NPI Details

MARWORTH is a rehabilitation and substance use disorder clinic center in Waverly, PA. MARWORTH NPI is 1942336391. The provider is registered as an organization entity type.

The provider's business location address is:

LILY LAKE RD
WAVERLY, PA
ZIP 18471
Phone: (570) 563-1112

The provider's authorized official is Cindy L Mull .
The authorized official title is System Director Enrollments and has the following contact phone number (570) 271-6603.

The CLIA number assigned to this NPI record is 39D0988381 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 4/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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