# THE LIFE CENTER COMPLEX, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Health @ Colwyck, The Life Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427600220
- **Authorized official:** FORREST WATSON III (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (302) 552-3574

## Contact information

- **Practice address:** 12 LANDERS LN, NEW CASTLE, DE 19720-2023
- **Practice address phone:** (302) 429-4083
- **Practice address fax:** (302) 429-4078
- **Mailing address:** 222 PHILADELPHIA PIKE STE 13-15, WILMINGTON, DE 19809-3166
- **Mailing address phone:** (302) 407-5316
- **Mailing address fax:** (302) 407-5307

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2019
- **Last updated:** 07/11/2019