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Organization
THE LIFE CENTER COMPLEX, INC
Active
Organization
THE LIFE CENTER COMPLEX, INC
Active
Other names
The Life Health Center at PALW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM PURNELL (OPERATIONS COORDINATOR)
(302) 407-5316
Entity
Organization
Contact information
Practice address
3707 N MARKET ST, WILMINGTON, DE 19802-2213
(302) 407-5316
Mailing address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 407-5316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QC1500X
Community Health Clinic/Center
—
NULL
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
05/30/2025
Last updated
06/02/2025
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