Individual
MRS. LARVAR TAMIKA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4039 W 7TH ST, TRAINER, PA 19061-5003
(484) 390-9379
(610) 494-5810
Mailing address
4039 W 7TH ST, TRAINER, PA 19061-5003
(484) 390-9379
(610) 494-5810
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
30273601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30273601
HEAVENLY HANDS OF NURSING LLC
PA
Enumeration date
10/12/2016
Last updated
09/08/2022
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