THE LIFE CENTER COMPLEX, INC – NPI #1497575740
Clinic/Center

THE LIFE CENTER COMPLEX, INC is an AHC clinic located in WILMINGTON, DE. NPPES has assigned the NPI number 1497575740 to THE LIFE CENTER COMPLEX, INC on October 11, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE LIFE CENTER COMPLEX, INC below.

NPI Profile for
THE LIFE CENTER COMPLEX, INC

NPI Number
1497575740
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE LIFE CENTER COMPLEX, INC
Primary location
2814 W 2ND ST
WILMINGTON, DE 19805-1807
Phone: (302) 407-5316 Fax:
Mailing address
812 PHILADELPHIA PIKE STE F
WILMINGTON, DE 19809-2371
Phone: (302) 407-5316 Fax:
Organization Subpart
Yes - THE LIFE CENTER COMPLEX, INC is subpart of another organization.
Authorized Official
FORREST WATSON
CEO
Phone: (302) 407-5316
Updated
Certification Date
Oct 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)
363L00000X
- Nurse Practitioner
2083P0901X
- Preventive Medicine / Public Health & General Preventive Medicine
1041C0700X
- Social Worker / Clinical
101Y00000X
- Counselor

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.