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THE LIFE CENTER COMPLEX INC. NPI 1174004345


NPI Information

NPI: 1174004345
Provider Name: THE LIFE CENTER COMPLEX, INC.

Doing Business As: THE LIFE HEALTH CENTER

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
4050 WRANGLE HILL RD
BEAR, DE
ZIP 19701
Phone: (302) 552-3574
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THE LIFE CENTER COMPLEX, INC. is a student health clinic center in Bear, DE. THE LIFE CENTER COMPLEX, INC. NPI is 1174004345. The provider is registered as an organization entity type.
The provider Is Doing Business As The Life Health Center.

The provider's business location address is:

4050 WRANGLE HILL RD
BEAR, DE
ZIP 19701
Phone: (302) 552-3574
Fax: (302) 552-3561

The provider's authorized official is Forrest Watson .
The authorized official title is Ceo and has the following contact phone number (302) 552-3574.

The enumeration date for this NPI number is 8/27/2018 and was last updated on 8/27/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1000XClinic/CenterStudent HealthYes

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: 4/28/2024

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