The Life Center Complex, INC

NPI #1326611443 in New Castle, Delaware

Provider Information

NPI Number
1326611443
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
Jul 19, 2021
Last Updated
Jul 19, 2021

Practice Location

Address
314 E BASIN RD
ZIP Code
19720-4214
Phone
(302) 407-5316

Authorized Official

Name
FORREST WATSON
Title
EXECUTIVE DIRECTOR
Phone
(302) 407-5316

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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