Provider Demographics
NPI:1043428998
Name:LIFE-SKILLS, INC.
Entity Type:Organization
Organization Name:LIFE-SKILLS, INC.
Other - Org Name:SOUTHERN WORCESTER COUNTY REHAB CENTER, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:AMICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:508-949-8080
Mailing Address - Street 1:44 MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-1812
Mailing Address - Country:US
Mailing Address - Phone:508-949-8080
Mailing Address - Fax:508-949-6129
Practice Address - Street 1:163 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DUDLEY
Practice Address - State:MA
Practice Address - Zip Code:01571-3817
Practice Address - Country:US
Practice Address - Phone:508-949-1233
Practice Address - Fax:508-949-6129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1311883Medicaid