The Life Center Complex, INC

NPI #1700364031 in New Castle, Delaware

Provider Information

NPI Number
1700364031
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 30, 2018
Last Updated
Jul 30, 2018

Practice Location

Address
903 DELAWARE ST
ZIP Code
19720-6029
Phone
(302) 429-4083

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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