The Life Center Complex, INC
Clinic/Center, Student Health in New Castle, DE. Organization (NPI-2).
NPI number1043798366
StatusActive
Last updated in NPPESJan 18, 2024
Details
- NPI
- 1043798366
- Entity type
- Organization (NPI-2)
- Legal business name
- The Life Center Complex, INC
- Organization subpart
- Yes
- Enumeration date
- Jul 30, 2018
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | DE | Yes |
| 261QS1000X | Clinic/Center, Student Health | – | – |
Practice location
16 Pleasant PlNew Castle, DE 19720-3005
Phone 302-429-4083 · Fax 302-429-4078
Mailing address
812 Philadelphia Pike Ste FWilmington, DE 19809-2371
Phone 302-407-5316 · Fax 302-407-5307
Authorized official
Forrest Watson
Ceo
3025523574
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All 11 Student Health Clinic/Center providers in New Castle · All 980 providers in New Castle
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