Provider First Line Business Practice Location Address:
PARK WEST HEALTH SYSTEM, INC.
Provider Second Line Business Practice Location Address:
4120 PATTERSON AVENUE
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-764-2266
Provider Business Practice Location Address Fax Number:
410-358-7413
Provider Enumeration Date:
06/01/2016