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
(561) 236-0021
Mailing address
401 N ROSEMARY AVE, WEST PALM BEACH, FL 33401-4133
(561) 236-0021
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236386
—
FL
Enumeration date
07/16/2021
Last updated
09/06/2023
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