Organization
THE LIFE CENTER COMPLEX, INC
Active
Organization
THE LIFE CENTER COMPLEX, INC
Active
Other names
The Life Health Center @ Great Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
FORREST WATSON III (CEO)
(302) 407-5316
Entity
Organization
Contact information
Practice address
1200 N FRENCH ST FL 6, WILMINGTON, DE 19801-3239
(302) 407-5316
Mailing address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 407-5316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
208D00000X
General Practice Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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