Organization
THE LIFE CENTER COMPLEX, INC
Active
Parent organization
THE LIFE CENTER COMPLEX, INC
Other names
Life Health @ Bayard
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LIFE CENTER COMPLEX, INC
Authorized official
FORREST WATSON (EXECUTIVE DIRECTOR)
(302) 407-5316
Entity
Organization
Contact information
Practice address
200 S DUPONT ST, WILMINGTON, DE 19805-3972
(302) 407-5316
(302) 407-5307
Mailing address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 552-3574
(302) 407-5307
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
01/18/2024
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