| NPI | 1164315040 |
|---|---|
| Doing Business As | THE LIFE HEALTH CENTER AT PALW |
| Entity Type | Organization |
| Authorized Contact | KIM PURNELL Operations Coordinator 302-407-5316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| 261QC1500X Clinic/Center, Community Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-06-02 |