Organization
BALANCED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAAL APPLEWHITE (OPERATIONS MANAGER)
(515) 718-5468
Entity
Organization
Contact information
Practice address
1614 MAIN ST APT D, EVANSTON, IL 60202-1688
(515) 718-5468
Mailing address
1614 MAIN ST, EVANSTON, IL 60202-1688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
06/29/2020
Last updated
09/29/2021
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