MEDICARE: LIFE-SKILLS, INC.

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	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952519803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE-SKILLS, INC.

Provider Business Mailing Address
First Line	:	44 MORRIS ST
Second Line	:
City	:	WEBSTER
State	:	MA
Zip	:	01570-1812
Country	:	US
Telephone Number	:	508-949-8080
Fax Number	:	508-949-6129

Provider Business Practice Location Address
First Line	:	205 SCHOOL ST UNIT 6
Second Line	:
City	:	GARDNER
State	:	MA
Zip	:	01440-2781
Country	:	US
Telephone Number	:	508-949-8080
Fax Number	:	508-949-6129

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMES THOMAS AMICK
Credential	:	M.S.
Telephone Number	:	508-949-8080

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	04/27/2023

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Directions to “LIFE-SKILLS, INC. ” Practice Location

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