Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Larry Wayne Edwards, BS

Individual provider Substance Abuse Rehabilitation Facility · NPI 1184375016

Mr. Larry Wayne Edwards, BS is a Substance Abuse Rehabilitation Facility in Benton Harbor, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

1022 E Main St
Benton Harbor, MI 49022-3036
Phone: (269) 926-0015
Fax: (269) 926-0123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1184375016
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedJanuary 12, 2022
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address1022 E Main St, Benton Harbor, MI 49022-3036

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