Organization
IMPACT LIFE, INC
Active
Parent organization
IMPACT LIFE, INC
Other names
IMPACT LIFE PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPACT LIFE, INC
Authorized official
LAUREN STEWARD (DIRECTOR OF ADMINISTRATION)
(302) 485-0702
Entity
Organization
Contact information
Practice address
90 BLUE HEN DR, NEWARK, DE 19713-3406
(302) 485-0702
Mailing address
PO BOX 1269, HOCKESSIN, DE 19707-5269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
06/04/2026
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