# VILLAGE FAMILY HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780350827
- **Authorized official:** TARA WOOD CRNP (OWNER)
- **Authorized official phone:** (240) 249-6073

## Contact information

- **Practice address:** 28170 OLD VILLAGE RD STE 102, MECHANICSVILLE, MD 20659-4211
- **Practice address phone:** (301) 481-5105
- **Mailing address:** 28170 OLD VILLAGE RD STE 102, MECHANICSVILLE, MD 20659-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2021
- **Last updated:** 05/24/2022