Organization
THE LIFE CENTER COMPLEX, INC
Active
Other names
The Life Health Center at Kuumba
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FORREST WATSON III (CEO)
(302) 407-5316
Entity
Organization
Contact information
Practice address
1200 N FRENCH ST, WILMINGTON, DE 19801-3239
(302) 407-5316
Mailing address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 407-5316
(302) 407-5307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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