Provider Demographics
NPI:1700192036
Name:HEALTHY BALANCE WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:HEALTHY BALANCE WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWTHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-281-9838
Mailing Address - Street 1:545 COUNTY ROAD 1302
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9510
Mailing Address - Country:US
Mailing Address - Phone:419-281-9838
Mailing Address - Fax:
Practice Address - Street 1:545 COUNTY ROAD 1302
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-9510
Practice Address - Country:US
Practice Address - Phone:419-281-9838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty