Organization
EDWARDS SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTRELL LAMAR EDWARDS (OWNER)
(561) 236-0021
Entity
Organization
Contact information
Practice address
401 N ROSEMARY AVE, WEST PALM BEACH, FL 33401-4133
(551) 236-0021
(561) 429-3426
Mailing address
401 N ROSEMARY AVE, WEST PALM BEACH, FL 33401-4133
(551) 236-0021
(561) 429-3426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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