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Edgewater Systems For Balanced Living, Inc
Federally Qualified Health Center (FQHC) in Cedar Lake, Indiana
NPI 1164181947

Edgewater Systems For Balanced Living, Inc is a Federally Qualified Health Center (FQHC) based in Gary, IN and is specialized in Federally Qualified Health Center (FQHC). Edgewater Systems For Balanced Living, Inc practices in Cedar Lake, IN. The NPI Number for Edgewater Systems For Balanced Living, Inc is 1164181947 and holds a License No. (Indiana).

The current practice location address for Edgewater Systems For Balanced Living, Inc is 9855 Lincoln Plaza Way Unit 5A,, Cedar Lake, IN and can be reached out via phone at 219-885-4264.

Location: 9855 Lincoln Plaza Way Unit 5A,, Cedar Lake, IN, 46402-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164181947
Provider Name
Edgewater Systems For Balanced Living, Inc
Credential
Provider Entity Type
Organization
Address
9855 Lincoln Plaza Way Unit 5A,, Cedar Lake, IN, 46402-1711
Phone Number
219-885-4264
Fax Number
Provider Enumeration Date
12/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9855 Lincoln Plaza Way Unit 5A,
City
Cedar Lake
State
Indiana
Zip
46303
Phone Number
219-885-4264
Fax Number
person
Provider Business Mailing Address Details
Address
9855 Lincoln Plaza Way Unit 5A,
City
Cedar Lake
State
Indiana
Zip
46303
Phone Number
219-885-4264
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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