THE LIFE CENTER COMPLEX, INC; NPI #1770426066

Contact Information

THE LIFE CENTER COMPLEX, INC

1570 N DUPONT HWY
DOVER, DE 19901-2215

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

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NPI Profile & details for THE LIFE CENTER COMPLEX, INC

NPI Number	`1770426066`
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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