Organization
TOLLER ENTERPRISES LLC
Active
Other names
Fayette Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LEWIS TOLLER (OWNER)
(667) 207-3552
Entity
Organization
Contact information
Practice address
1217 W FAYETTE ST, BALTIMORE, MD 21223-1938
(410) 727-3947
(410) 385-5886
Mailing address
2232 E MONUMENT ST, BALTIMORE, MD 21205-2431
(667) 207-3552
(443) 885-9778
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
07/01/2025
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