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Organization

THE LIFE CENTER COMPLEX, INC

Active
Find providers by NPI
Organization

THE LIFE CENTER COMPLEX, INC

Active
Other names
The Life Health Center at Kuumba
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FORREST WATSON III (CEO)
(302) 407-5316
Entity
Organization

Contact information

Practice address
1200 N FRENCH ST, WILMINGTON, DE 19801-3239
(302) 407-5316
Mailing address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 407-5316
(302) 407-5307

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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