NPI | 1275014367 |
---|---|
Doing Business As | THE LIFE HEALTH CENTER |
Doing Business As | LIFE HEALTH @ SOUTHERN |
Entity Type | Organization |
Authorized Contact | FORREST WATSON CEO 302-552-3574 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
Enumeration Date | 2018-08-27 |
Last Update Date | 2018-08-29 |