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1215706494
ABODE CARE PARTNERS LTC VB, LLC
ROCK ISLAND, IL
NPI
1215706494
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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
2023-12-28
Last Update Date
2023-12-28
Business Address
ABODE CARE PARTNERS LTC VB, LLC
2545 24TH ST
ROCK ISLAND, IL 61201-5305
Phone number: 877-558-8181
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Mailing Address
ABODE CARE PARTNERS LTC VB, LLC
805 N WHITTINGTON PKWY
LOUISVILLE, KY 40222-7101
Phone number: 502-394-2100
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