# THE LIFE CENTER COMPLEX, INC

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

## Provider details

- **NPI number:** 1669012993
- **Authorized official:** MR. FORREST WATSON III (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (302) 407-5316

## Contact information

- **Practice address:** 700 N LOMBARD ST, WILMINGTON, DE 19801-4217
- **Practice address phone:** (302) 429-4102
- **Practice address fax:** (302) 429-3956
- **Mailing address:** 812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
- **Mailing address phone:** (302) 407-5316
- **Mailing address fax:** (302) 429-3956

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2020
- **Last updated:** 03/28/2024