Individual ProviderLewis Elliott EdwardsBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayetteville Street, Raleigh, NC 27601(877) 418-2978PECOS EnrollmentBased on the most recent information from CMS, provider Lewis Elliott Edwards does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1639996648Provider TypeIndividualFull NameEdwards, Lewis ElliottTitleMr.GenderMaleSole ProprietorNoEnumeration Date9/21/2024Last Updated9/21/2024Contact InformationPractice LocationPractice Address421 Fayetteville Street, Raleigh, NC 27601Phone(877) 418-2978FaxUnlisted FaxMailing LocationMailing Address350 Fairway Drive, Suite 101, Deerfield Beach, FL 33441PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNorth Carolina