Edgewater Systems for Balanced Living, INC
NPI #1164181947 in Cedar Lake, Indiana
Provider Information
- NPI Number
- 1164181947
- Entity Type
- Organization
- Organization Name
- Edgewater Systems for Balanced Living, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 9855 LINCOLN PLAZA WAY UNIT 5A,
- City
- Cedar Lake
- State
- Indiana
- ZIP Code
- 46303
- Phone
- (219) 885-4264
Authorized Official
- Name
- DANITA JOHNSON HUGHES
- Title
- CEO
- Phone
- (219) 885-4264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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