| The Life Center Complex, Inc | |
|
1350 Edgmont Ave Chester PA 19013-3962 | |
| (302) 407-5316 | |
| Not Available |
| Full Name | The Life Center Complex, Inc |
|---|---|
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
| Location | 1350 Edgmont Ave, Chester, Pennsylvania |
| Authorized Official Name and Position | Forrest Watson (CEO) |
| Authorized Official Contact | 3024075316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Life Center Complex, Inc 812 Philadelphia Pike Ste F Wilmington DE 19809-2371 Ph: (302) 407-5316 | The Life Center Complex, Inc 1350 Edgmont Ave Chester PA 19013-3962 Ph: (302) 407-5316 |
| NPI Number | 1710715800 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710715800 | NPI | - | NPPES |
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