NPI 1174004345

The Life Center Complex, INC.

Organisation Student Health Clinic/Center Bear, DE

Practice location

Address: 4050 Wrangle Hill Rd, Bear, DE 19701
Phone: (302) 552-3574
Fax: (302) 552-3561
Mailing address: 222 Philadelphia Pike STE 13, Wilmington, DE 19809-3166

Authorised official

Name: Forrest Watson
Title: Ceo
Phone: (302) 552-3574

Registered specialties

Student Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QS1000X

Other Clinic/Center providers in Delaware →

Registry record

NPI: 1174004345
Entity type: Organization
NPI issued: 27 Aug 2018
Record last updated: 27 Aug 2018

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.