| The Life Center Complex, Inc. | |
|
4050 Wrangle Hill Rd Bear DE 19701 | |
| (302) 552-3574 | |
| (302) 552-3561 |
| Full Name | The Life Center Complex, Inc. |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 4050 Wrangle Hill Rd, Bear, 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. 222 Philadelphia Pike Ste 13 Wilmington DE 19809-3166 Ph: (302) 552-3574 | The Life Center Complex, Inc. 4050 Wrangle Hill Rd Bear DE 19701 Ph: (302) 552-3574 |
| NPI Number | 1174004345 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174004345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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