# 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 at Hope House
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497575740
- **Legal business name:** THE LIFE CENTER COMPLEX, INC
- **Authorized official:** MR. FORREST WATSON (CEO)
- **Authorized official phone:** (302) 407-5316

## Contact information

- **Practice address:** 2814 W 2ND ST, WILMINGTON, DE 19805-1807
- **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 |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024