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Organization

COUNT TO TEN, INC

Active
Other names
Count To Ten Holistic Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY FRANKLYN GARDNER DNP (EXECUTIVE DIRECTOR)
(219) 989-9759
Entity
Organization

Contact information

Practice address
5404 W 25TH AVE, SUITE 107, GARY, IN 46406-3141
(219) 989-9759
(219) 989-9757
Mailing address
5404 W 25TH AVE, SUITE 107, GARY, IN 46406-3141
(219) 989-9759
(219) 989-9757

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6600003-01
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M100014629
MEDICARE IDENTIFICATION NUMBER
IN
01
M400014630
MEDICARE IDENTIFICATION NUMBER
IN
Enumeration date
07/28/2007
Last updated
03/31/2014
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