| NPI | 1467213298 | 
|---|---|
| Other Name | LIFE HEALTH @ PULASKI | 
| Entity Type | Organization | 
| Authorized Contact | FORREST WATSON CEO 302-552-3574  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health | 
| Enumeration Date | 2024-01-18 | 
| Last Update Date | 2024-01-18 |