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THE LIFE CENTER COMPLEX, INC

General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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Contact Information

THE LIFE CENTER COMPLEX, INC
190 SALEM CHURCH RD
NEWARK, DE  19713-2938
 Phone: 302-407-5316
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

General Practice

 208D00000X 99 Physician/Undefined Physician type[6]
 

Clinical

 1041C0700X 80 Licensed Clinical Social Worker
 

Family

 363LF0000X 50 Nurse Practitioner
 

Public Health & General Preventive Medicine

 2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for THE LIFE CENTER COMPLEX, INC

NPI Number 1225971518
LBN Legal business name THE LIFE CENTER COMPLEX, INC
Authorized official FORREST WATSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2026
Last updated 04/11/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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