# THE LIFE CENTER COMPLEX, INC.

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

## Provider details

- **NPI number:** 1275014367
- **Legal business name:** THE LIFE CENTER COMPLEX, INC.
- **Authorized official:** FORREST WATSON (CEO)
- **Authorized official phone:** (302) 552-3574

## Contact information

- **Practice address:** 795 COX NECK RD, NEW CASTLE, DE 19720
- **Practice address phone:** (302) 552-3574
- **Practice address fax:** (302) 552-3561
- **Mailing address:** 222 PHILADELPHIA PIKE STE 13, WILMINGTON, DE 19809-3166
- **Mailing address phone:** (025) 523-5743

## Taxonomy

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

## Other

- **Enumeration date:** 08/27/2018
- **Last updated:** 08/29/2018