| Life Health @ Bayard | |
|
200 S Dupont St Wilmington DE 19805-3972 | |
| (302) 407-5316 | |
| (302) 407-5307 |
| Full Name | Life Health @ Bayard |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 200 S Dupont St, Wilmington, Delaware |
| Authorized Official Name and Position | Forrest Watson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3024075316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Health @ Bayard 812 Philadelphia Pike Ste F Wilmington DE 19809-2371 Ph: (302) 552-3574 | Life Health @ Bayard 200 S Dupont St Wilmington DE 19805-3972 Ph: (302) 407-5316 |
| NPI Number | 1013586106 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013586106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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