THE LIFE CENTER COMPLEX INC NPI 1366114522

NPI Information

  • NPI: 1366114522
  • Provider Name: THE LIFE CENTER COMPLEX, INC
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Doing Business As: LIFE HEALTH @ STUBBS
  • Address: 1100 N PINE ST
    WILMINGTON, DE
    ZIP 19801
  • Phone: (302) 552-3574

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NPI Details

THE LIFE CENTER COMPLEX, INC is a student health clinic center in Wilmington, DE. THE LIFE CENTER COMPLEX, INC NPI is 1366114522. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Health @ Stubbs.

The provider's business location address is:

1100 N PINE ST
WILMINGTON, DE
ZIP 19801-012
Phone: (302) 552-3574

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

The enumeration date for this NPI number is 10/5/2021 and was last updated on 3/28/2024.

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
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: 3/30/2025

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