MR. Larry Wayne Edwards, BS
NPI #1184375016 in Benton Harbor, Michigan
Provider Information
- NPI Number
- 1184375016
- Entity Type
- Individual
- Name
- MR. Larry Wayne Edwards, BS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Credential
- BS
- Enumeration Date
- Jan 12, 2022
- Last Updated
- Jan 12, 2022
Practice Location
- Address
- 1022 E MAIN ST
- City
- Benton Harbor
- State
- Michigan
- ZIP Code
- 49022-3036
- Phone
- (269) 926-0015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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