| The Life Center Complex, Inc. | |
|
629 Buckson Dr Dover DE 19901-2503 | |
| (302) 407-5316 | |
| Not Available |
| Full Name | The Life Center Complex, Inc. |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 629 Buckson Dr, Dover, Delaware |
| Authorized Official Name and Position | Forrest Watson (CEO) |
| Authorized Official Contact | 3025523574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Life Center Complex, Inc. 812 Philadelphia Pike Ste F Wilmington DE 19809-2371 Ph: (302) 407-5316 | The Life Center Complex, Inc. 629 Buckson Dr Dover DE 19901-2503 Ph: (302) 407-5316 |
| NPI Number | 1609590538 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609590538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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