| NPI | 1346728672 |
|---|---|
| Doing Business As | LIFE HEALTH AT WILMINGTON MANOR |
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON CEO 302-552-3574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |