Organization
THE LIFE CENTER COMPLEX, INC
Active
Parent organization
THE LIFE CENTER COMPLEX, INC
Other names
The Life Health Center at Freire
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LIFE CENTER COMPLEX, INC
Authorized official
FORREST WATSON (CEO)
(302) 407-5316
Entity
Organization
Contact information
Practice address
201 W 14TH ST, WILMINGTON, DE 19801-1114
(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
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us