NPI 1013586106

The Life Center Complex, INC

Organisation Student Health Clinic/Center Wilmington, DE

Practice location

Address: 200 S Dupont St, Wilmington, DE 19805-3972
Phone: (302) 407-5316
Fax: (302) 407-5307
Mailing address: 812 Philadelphia Pike STE F, Wilmington, DE 19809-2371

Authorised official

Name: Forrest Watson
Title: Executive Director
Phone: (302) 407-5316

Registered specialties

Student Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QS1000X

Other Clinic/Center providers in Delaware →

Registry record

NPI: 1013586106
Entity type: Organization
NPI issued: 22 Jun 2021
Record last updated: 18 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.