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Organization
THE LIFE CENTER COMPLEX, INC.
Active
Organization
THE LIFE CENTER COMPLEX, INC.
Active
Other names
The Life Health Center at Glasgow
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST WATSON III (CEO)
(302) 407-5316
Entity
Organization
Contact information
Practice address
1901 S COLLEGE AVE, NEWARK, DE 19702-2377
(302) 407-5316
Mailing address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 407-5316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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