Organization
PARK WEST HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLEO LAVERNE EDMONDS MS (PROJECT DIRECTOR)
(443) 884-7642
Entity
Organization
Contact information
Practice address
4151 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6730
(443) 884-7642
(443) 423-0002
Mailing address
4151 PARK HEIGHTS AVENUE, HIDDEN GARDEN PROGRAM, BALTIMORE, MD 21215
(443) 884-7642
(443) 423-0002
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
MD
Other
Enumeration date
10/13/2015
Last updated
07/21/2022
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