The Life Center Complex, Inc
LBN: The Life Center Complex, Inc
The Life Center Complex, Inc is an health care organization with primary practice located at 1624 Jessup St , Wilmington DE 19802-4210. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Ambulatory Health Care Facilities / Community Health. Ambulatory Health Care Facilities / Community Health is the primary health care specialty.
The Life Center Complex, Inc can be contacted via phone (302) 552-3574, or through Watson, Forrest via phone (302) 552-3574.
Contact Information
Primary practice address
1624 Jessup St
Wilmington DE 19802-4210
Phone: (302) 552-3574
Fax: (302) 552-3561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 71788 | Delaware |
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | Delaware |
Profile Details
| NPI number | 1770808578 |
|---|---|
| LBN Legal business name | The Life Center Complex, Inc |
| DBA Doing business as | |
| Authorized official | Watson, Forrest MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2010 |
| Last updated | Mar 28th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770808578 | NPPES |
| Delaware | MEDICAID | 1770808578 |
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