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1104695550
ABODE CARE PARTNERS AL VB, LLC
MASON, OH
NPI
1104695550
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Entity Type
Organization
Authorized Contact
ANGIE MATTINGLY
Mgr Provider Enrollment
502-394-2100
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2023-12-27
Last Update Date
2023-12-27
Business Address
ABODE CARE PARTNERS AL VB, LLC
5467 CEDAR VILLAGE DR
MASON, OH 45040-8693
Phone number: 513-754-3100
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Mailing Address
ABODE CARE PARTNERS AL VB, LLC
805 N WHITTINGTON PKWY
LOUISVILLE, KY 40222-7101
Phone number:
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