Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY WAYNE EDWARDS, BS
Active Sole ProprietorMR. LARRY WAYNE EDWARDS, BS is a Substance Abuse Rehabilitation Facility healthcare provider located in BENTON HARBOR, Michigan. NPI 1184375016 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · BENTON HARBOR, MI
Registration Details
- NPI Number
- 1184375016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2022 (4.6197694710593 yrs)
- Last Updated
- Jan 12, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1022 E MAIN STBENTON HARBOR, MI, 490223036Browse MI providers · Browse ZIP 49022
- Phone
- 2699260015
- Fax
- 2699260123
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.