Organization
HEALTHY BALANCE, INC.
Active
Organization
HEALTHY BALANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI DIANE HENDRICKSON RD (PRESIDENT)
(785) 760-4501
Entity
Organization
Contact information
Practice address
4921 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 760-4501
(785) 727-1805
Mailing address
734 N 1851ST DIAG RD, LECOMPTON, KS 66050-4114
(785) 760-4501
(785) 727-1805
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
000947
KS
Other
Enumeration date
05/26/2010
Last updated
11/01/2013
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