| The Life Center Complex, Inc. | |
|
1300 Cedar St Wilmington DE 19805-4396 | |
| (302) 552-3573 | |
| (302) 552-3561 |
| Full Name | The Life Center Complex, Inc. |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1300 Cedar St, Wilmington, 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 |
|---|---|
| The Life Center Complex, Inc. 812 Philadelphia Pike Ste F Wilmington DE 19809-2371 Ph: (302) 407-5316 | The Life Center Complex, Inc. 1300 Cedar St Wilmington DE 19805-4396 Ph: (302) 552-3573 |
| NPI Number | 1467213298 |
|---|---|
| Provider Enumeration Date | 01/18/2024 |
| Last Update Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467213298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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