Healthcare Provider Details

I. General information

NPI: 1033251715
Provider Name (Legal Business Name): LIFE-SKILLS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 05/05/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 MORRIS ST.
WEBSTER MA
01570
US

IV. Provider business mailing address

44 MORRIS ST
WEBSTER MA
01570-1812
US

V. Phone/Fax

Practice location:
  • Phone: 508-949-0361
  • Fax: 508-949-6129
Mailing address:
  • Phone: 508-943-0700
  • Fax: 508-949-6129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JAMES THOMAS AMICK
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.
Phone: 508-949-8080