LARRY WAYNE EDWARDS

BENTON HARBOR, MI
NPI1184375016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2022-01-12
Last Update Date2022-01-12
Business Address
MR. LARRY WAYNE EDWARDS BS
1022 E MAIN ST
BENTON HARBOR, MI 49022-3036
Phone number: 269-926-0015
Mailing Address
MR. LARRY WAYNE EDWARDS BS
1022 E MAIN ST
BENTON HARBOR, MI 49022-3036
Phone number: 269-926-0015
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