# THE LIFE CENTER COMPLEX, INC

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

## Provider details

- **NPI number:** 1467939082
- **Legal business name:** THE LIFE CENTER COMPLEX, INC
- **Authorized official:** MR. FORREST WATSON III MBA (CEO)
- **Authorized official phone:** (302) 552-3574

## Contact information

- **Practice address:** 27 LANDERS LN, NEW CASTLE, DE 19720-2022
- **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) 552-3574
- **Mailing address fax:** (302) 552-3561

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2018
- **Last updated:** 07/26/2018