# LIFE LEARNING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225614506
- **Authorized official:** FORREST WATSON IV (CEO)
- **Authorized official phone:** (302) 300-5519

## Contact information

- **Practice address:** 5 BRANDYWINE BLVD, WILMINGTON, DE 19809-3235
- **Practice address phone:** (302) 300-5519
- **Practice address fax:** (302) 552-3561
- **Mailing address:** 5 BRANDYWINE BLVD, WILMINGTON, DE 19809-3235
- **Mailing address phone:** (302) 300-5519
- **Mailing address fax:** (302) 552-3561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2021
- **Last updated:** 03/18/2021