# TOLLER ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stoddard Baptist Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861381246
- **Authorized official:** WALTER LEWIS TOLLER (OWNER)
- **Authorized official phone:** (667) 207-3552

## Contact information

- **Practice address:** 1818 NEWTON ST NW, WASHINGTON, DC 20010-1017
- **Practice address phone:** (202) 328-7400
- **Practice address fax:** (202) 328-0421
- **Mailing address:** 2232 E MONUMENT ST, BALTIMORE, MD 21205-2431
- **Mailing address phone:** (667) 207-3552
- **Mailing address fax:** (443) 885-9778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025