MEDICARE: SICKLE CELL FOUNDATION

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	174H00000X	Health Educator
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1720806649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SICKLE CELL FOUNDATION

Provider Business Mailing Address
First Line	:	815 PALM BEACH LAKES BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2839
Country	:	US
Telephone Number	:	561-833-3113
Fax Number	:	561-444-0178

Provider Business Practice Location Address
First Line	:	815 PALM BEACH LAKES BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2839
Country	:	US
Telephone Number	:	561-833-3113
Fax Number	:	561-444-0178

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. SHALONDA WARREN
Credential	:
Telephone Number	:	561-833-3113

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	10/02/2024

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Directions to “SICKLE CELL FOUNDATION ” Practice Location

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