# THE LIFE CENTER COMPLEX, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE LIFE CENTER COMPLEX, INC
- **Other names:** Life Health @ Bayard
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013586106
- **Legal business name:** THE LIFE CENTER COMPLEX, INC
- **Authorized official:** FORREST WATSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (302) 407-5316

## Contact information

- **Practice address:** 200 S DUPONT ST, WILMINGTON, DE 19805-3972
- **Practice address phone:** (302) 407-5316
- **Practice address fax:** (302) 407-5307
- **Mailing address:** 812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
- **Mailing address phone:** (302) 552-3574
- **Mailing address fax:** (302) 407-5307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 01/18/2024