Organization
THE LIFE CENTER COMPLEX, INC.
Active
Parent organization
THE LIFE CENTER COMPLEX, INC.
Other names
Life Health @ Southern, The Life Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LIFE CENTER COMPLEX, INC.
Authorized official
FORREST WATSON (CEO)
(302) 552-3574
Entity
Organization
Contact information
Practice address
795 COX NECK RD, NEW CASTLE, DE 19720
(302) 552-3574
(302) 552-3561
Mailing address
222 PHILADELPHIA PIKE STE 13, WILMINGTON, DE 19809-3166
(025) 523-5743
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/29/2018
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