OrganizationActive
The Life Center Complex, Inc
NPI 1013586106 · Student Health Clinic/Center · Wilmington, DE
Provider details
- NPI number
- 1013586106
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- The Life Center Complex, Inc
- Organization subpart
- Yes
- Authorized official
- Forrest Watson, Executive Director(302) 407-5316
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
200 S Dupont St
Wilmington, DE 19805-3972
Phone: (302) 407-5316
Fax: (302) 407-5307
Approximate (ZIP-level) locationGet directions
Mailing address
812 Philadelphia Pike Ste F
Wilmington, DE 19809-2371
Other names (DBA / former)
- Doing business as
- Life Health @ Bayard
- Doing business as
- Life Health @ Bayard
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.