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Contact Information

THE LIFE CENTER COMPLEX, INC
1200 N FRENCH ST FL 6
WILMINGTON, DE19801-3239
 Phone: 302-407-5316
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for THE LIFE CENTER COMPLEX, INC

NPI Number 1588526362
LBN Legal business name THE LIFE CENTER COMPLEX, INC
Authorized official FORREST WATSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2025
Last updated 12/01/2025 - About 6 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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