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THE LIFE CENTER COMPLEX, INC
NPI 1710725494
Clinic/Center - Student Health in Chester, PA

Active since July 17, 2024
1350 EDGMONT AVE, CHESTER, PA 19013(302) 407-5316 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Life Center Complex, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE LIFE CENTER COMPLEX, INC (NPI 1710725494), doing business as The Life Health Center @ Edgemont, is a healthcare organization registered as a student health in Chester, Pennsylvania and active in the NPI registry since July 2024. The organization lists Forrest Watson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710725494
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameTHE LIFE CENTER COMPLEX, INC
Location Address1350 EDGMONT AVEChester, PA 19013-3962
Mailing Address812 Philadelphia Pike Fl 2Wilmington, DE 19809-2372 · (302) 407-5316
Phone(302) 407-5316
Organization SubpartYes
Authorized OfficialForrest WatsonCeo · (302) 407-5316
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1710725494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
Also ListedGeneral PracticeTaxonomy 208D00000X
1350 EDGMONT AVE, Chester, PA 19013
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Other Names 1

Doing Business AsThe Life Health Center @ Edgemont

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. FRANK E COSTON
Counselor (Addiction (Substance Use Disorder))
1350 EDGMONT AVE, ERC, SUITE #2575
CHESTER, PA 19013
Delaware County (610) 499-7533
THE LIFE CENTER COMPLEX, INC
Preventive Medicine (Public Health & General Preventive Medicine)
1350 EDGMONT AVE
CHESTER, PA 19013
Delaware County (302) 407-5316
MARTHA B BOSTON PH.D
Psychologist (Addiction (Substance Use Disorder))
1350 EDGMONT AVE, SUITE 2575
CHESTER, PA 19013
Delaware County (302) 547-4956

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Life Center Complex, Inc's NPI number?

The NPI number for The Life Center Complex, Inc is 1710725494. It was assigned to this organization in the NPPES registry on July 17, 2024. The provider is doing business as The Life Health Center @ Edgemont.

Where is The Life Center Complex, Inc located?

The Life Center Complex, Inc is located at 1350 Edgmont Ave, Chester, PA 19013. The listed phone number is (302) 407-5316.

What is The Life Center Complex, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for The Life Center Complex, Inc was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.