Organization
LIFE LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST WATSON IV (CEO)
(302) 300-5519
Entity
Organization
Contact information
Practice address
5 BRANDYWINE BLVD, WILMINGTON, DE 19809-3235
(302) 300-5519
(302) 552-3561
Mailing address
5 BRANDYWINE BLVD, WILMINGTON, DE 19809-3235
(302) 300-5519
(302) 552-3561
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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