EDGEWATER SYSTEMS FOR BALANCED LIVING, INC

MERRILLVILLE, IN
NPI1184303414
Other NameEDGEWATER HEALTH - MERRILLVILLE
Entity TypeOrganization
Authorized ContactDANITA JOHNSON HUGHES
CEO
219-885-4264
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2023-07-13
Last Update Date2023-07-26
Business Address
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
5495 BROADWAY
MERRILLVILLE, IN 46410-1647
Phone number: 219-885-4264
Mailing Address
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264