| NPI | 1801727490 |
|---|---|
| Doing Business As | IMPACT LIFE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LAUREN STEWARD Director Of Administration 302-485-0702 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2026-05-25 |
| Last Update Date | 2026-06-04 |