| NPI | 1669045787 |
|---|---|
| Doing Business As | LIFE HEALTH @ GUNNING BEDFORD |
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON Executive Director 302-407-5316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |