| Village Elite Wellness, Llc | |
|
9603 Deereco Rd Unit 306 Lutherville MD 21094-7514 | |
| (443) 608-0786 | |
| Not Available |
| Full Name | Village Elite Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9603 Deereco Rd Unit 306, Lutherville, Maryland |
| Authorized Official Name and Position | Valerie Marks (OWNER) |
| Authorized Official Contact | 4436080786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Elite Wellness, Llc 2104 Eastridge Rd Lutherville MD 21093-3432 Ph: (443) 608-0786 | Village Elite Wellness, Llc 9603 Deereco Rd Unit 306 Lutherville MD 21094-7514 Ph: (443) 608-0786 |
| NPI Number | 1437911294 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437911294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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