MEDICARE: LIFE WITHIN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	347E00000X	Transportation Broker
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1780453415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE WITHIN, INC.

Provider Business Mailing Address
First Line	:	8155 CYPRESS POINT RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-2442
Country	:	US
Telephone Number	:	773-251-0155
Fax Number	:

Provider Business Practice Location Address
First Line	:	8155 CYPRESS POINT RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-2442
Country	:	US
Telephone Number	:	773-251-0155
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LAREECE LONG
Credential	:
Telephone Number	:	773-251-0155

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	12/21/2023

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