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Organization
BALANCED BODY HEALTHCARE
Active
Organization
BALANCED BODY HEALTHCARE
Active
Parent organization
BRANAE HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRANAE HOLDINGS, LLC
Authorized official
LISA CROCKETT (CEO)
(256) 464-7260
Entity
Organization
Contact information
Practice address
8121 MADISON BLVD STE 102, MADISON, AL 35758-2018
(256) 464-7260
(256) 772-7066
Mailing address
104 OVERLEAF PT SW, HUNTSVILLE, AL 35824-3102
(256) 464-7260
(256) 772-7066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2286
AL
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
2286
AL
261QP2300X
Primary Care Clinic/Center
—
AL
261QR0200X
Radiology Clinic/Center
2286
AL
261QV0200X
VA Clinic/Center
—
—
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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