Provider Demographics
NPI:1851160543
Name:EDWARDS ENTERPRISE & REMODELING LLC
Entity Type:Organization
Organization Name:EDWARDS ENTERPRISE & REMODELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-687-7929
Mailing Address - Street 1:PO BOX 280343
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38168-0343
Mailing Address - Country:US
Mailing Address - Phone:901-687-7929
Mailing Address - Fax:
Practice Address - Street 1:479 ERVIN LN
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-6014
Practice Address - Country:US
Practice Address - Phone:901-687-7929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty