THE LIFE CENTER COMPLEX INC NPI 1124961412

NPI Information

  • NPI: 1124961412
  • Provider Name: THE LIFE CENTER COMPLEX, INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 852 S LITTLE CREEK RD
    DOVER, DE
    ZIP 19901
  • Phone: (302) 407-5316

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NPI Details

THE LIFE CENTER COMPLEX, INC is a general practice in Dover, DE. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THE LIFE CENTER COMPLEX, INC NPI is 1124961412. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

852 S LITTLE CREEK RD
DOVER, DE
ZIP 19901-722
Phone: (302) 407-5316

The provider's authorized official is Forrest Watson .
The authorized official title is Ceo and has the following contact phone number (302) 407-5316.

The enumeration date for this NPI number is 4/11/2026 and was last updated on 4/11/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
22083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
3363LP0200XNurse PractitionerPediatricsNo
4208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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