| Life Health @ Southern | |
|
795 Cox Neck Rd New Castle DE 19720 | |
| (302) 552-3574 | |
| (302) 552-3561 |
| Full Name | Life Health @ Southern |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 795 Cox Neck Rd, 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 @ Southern 222 Philadelphia Pike Ste 13 Wilmington DE 19809-3166 Ph: (025) 523-5743 | Life Health @ Southern 795 Cox Neck Rd New Castle DE 19720 Ph: (302) 552-3574 |
| NPI Number | 1275014367 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275014367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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