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1558130716
ABODE CARE PARTNERS LTC VB, LLC
JACKSONVILLE, FL
NPI
1558130716
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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
2024-01-04
Business Address
ABODE CARE PARTNERS LTC VB, LLC
2061 HYDE PARK RD
JACKSONVILLE, FL 32210-3815
Phone number: 941-625-3200
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Mailing Address
ABODE CARE PARTNERS LTC VB, LLC
805 N WHITTINGTON PKWY STE 400
LOUISVILLE, KY 40222-7102
Phone number: 502-394-2100
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