| Life Health At Wilmington Manor | |
|
200 E Roosevelt Ave New Castle DE 19720-3316 | |
| (302) 429-4083 | |
| (302) 429-4078 |
| Full Name | Life Health At Wilmington Manor |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 200 E Roosevelt Ave, New Castle, Delaware |
| Authorized Official Name and Position | Forrest Watson (CEO) |
| Authorized Official Contact | 3025523574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Health At Wilmington Manor 200 E Roosevelt Ave New Castle DE 19720-3316 Ph: (302) 429-4083 | Life Health At Wilmington Manor 200 E Roosevelt Ave New Castle DE 19720-3316 Ph: (302) 429-4083 |
| NPI Number | 1346728672 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346728672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Delaware) | Primary |
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