Healthcare Provider Details

I. General information

NPI: 1720806649
Provider Name (Legal Business Name): SICKLE CELL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33401-2839
US

IV. Provider business mailing address

815 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33401-2839
US

V. Phone/Fax

Practice location:
  • Phone: 561-833-3113
  • Fax: 561-444-0178
Mailing address:
  • Phone: 561-833-3113
  • Fax: 561-444-0178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MS. SHALONDA WARREN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 561-833-3113