# THE LIFE CENTER COMPLEX, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Life Health Center at PALW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164315040
- **Authorized official:** MS. KIM PURNELL (OPERATIONS COORDINATOR)
- **Authorized official phone:** (302) 407-5316

## Contact information

- **Practice address:** 3707 N MARKET ST, WILMINGTON, DE 19802-2213
- **Practice address phone:** (302) 407-5316
- **Mailing address:** 812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
- **Mailing address phone:** (302) 407-5316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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