The Life Center Complex, Inc.

NPI #1174004345 in Bear, Delaware

Provider Information

NPI Number: 1174004345
Entity Type: Organization
Organization Name: The Life Center Complex, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: THE LIFE CENTER COMPLEX, INC.
Primary Specialty: Clinic/Center - Student Health
Enumeration Date: Aug 27, 2018
Last Updated: Aug 27, 2018

Practice Location

Address: 4050 WRANGLE HILL RD
City: Bear
State: Delaware
ZIP Code: 19701
Phone: (302) 552-3574

Authorized Official

Name: FORREST WATSON
Title: CEO
Phone: (302) 552-3574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Student Health — Student Health	261QS1000X	Primary

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