MEDICARE: LIFE MATTERS, INCORPORATED

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
1	1041C0700X	Clinical Social Worker	SW7273	FL

General Provider Information

NPI Number	:	1679778450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE MATTERS, INCORPORATED

Provider Business Mailing Address
First Line	:	2002 BONISLE CIRCLE
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-6503
Country	:	US
Telephone Number	:	561-881-4581
Fax Number	:	561-881-1414

Provider Business Practice Location Address
First Line	:	3307 NORTHLAKE BLVD
Second Line	:	SUITE 104
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33403-1703
Country	:	US
Telephone Number	:	561-881-4581
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. SHARON BLACKSHIRE
Credential	:	L.C.S.W., C.A.P.
Telephone Number	:	561-881-4581

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	08/22/2020

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