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1386413607
ABODE CARE PARTNERS AL VB, LLC
ST PETERSBURG, FL
NPI
1386413607
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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 AL VB, LLC
3636 10TH AVE N
ST PETERSBURG, FL 33713-6528
Phone number: 727-323-3611
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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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