The Life Center Complex, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THE LIFE CENTER COMPLEX, INC

Doing business as

The Life Health Center at East Dover

Practice address

852 S Little Creek Rd
Dover, DE 19901-4722

Phone

(302) 407-5316

NPI assigned

Apr 11, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Forrest Watson III

Title

Ceo

Phone

(302) 407-5316

Specialties & licenses 4

Addresses

Other names 1

• The Life Health Center at East Dover Doing business as

Tax ID family

The Life Center Complex Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • Wilmington, DE
  • NPI 1013586106
  NPD tax ID
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • New Castle, DE
  • NPI 1043798366
  NPD tax ID
• The Life Center Complex, Inc

  • General Practice Physician
  • New Castle, DE
  • NPI 1144163437
  NPD tax ID
• The Life Center Complex, Inc

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1144198003
  NPD tax ID
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • Wilmington, DE
  • NPI 1164315040
  NPD tax ID
• The Life Center Complex, Inc

  • General Practice Physician
  • Newark, DE
  • NPI 1225971518
  NPD tax ID
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • New Castle, DE
  • NPI 1326611443
  NPD tax ID
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • New Castle, DE
  • NPI 1346728672
  NPD tax ID
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • Wilmington, DE
  • NPI 1366114522
  NPD tax ID
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • New Castle, DE
  • NPI 1427600220
  NPD tax ID
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • New Castle, DE
  • NPI 1467939082
  NPD tax ID
• The Life Center Complex, Inc

  • Student Health Clinic/Center
  • Wilmington, DE
  • NPI 1497575740
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775865600000",
    "number": "1124961412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 PHILADELPHIA PIKE STE F",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092371",
            "telephone_number": "302-407-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 S LITTLE CREEK RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014722",
            "telephone_number": "302-407-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFE CENTER COMPLEX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-11",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-407-5316",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Life Health Center at East Dover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Dover, DE
• Providers in Dover, DE by specialty
• General Practice Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.