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Organization
THE LIFE CENTER COMPLEX, INC.
Active
Organization
THE LIFE CENTER COMPLEX, INC.
Active
Other names
The Life Health Center, The Life Health Center @ McCullough
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORREST WATSON III (EXECUTIVE DIRECTOR)
(302) 407-5316
Entity
Organization
Contact information
Practice address
20 CHASE AVE, NEW CASTLE, DE 19720-1236
(302) 429-4000
Mailing address
222 PHILADELPHIA PIKE STE 13, WILMINGTON, DE 19809-3166
(302) 407-5316
(302) 407-5307
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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