Organization
4 WALLS HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA ANDREA GIBSON-JONES CAC-AD (CLINICAL DIRECTOR)
(443) 762-6949
Entity
Organization
Contact information
Practice address
6609 REISTERSTOWN RD, SUITE 104, BALTIMORE, MD 21215-2315
(443) 762-6949
Mailing address
6609 REISTERSTOWN RD, SUITE 104, BALTIMORE, MD 21215-2315
(443) 762-6949
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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