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1558130922
ABODE CARE PARTNERS AL VB, LLC
LEBANON, IN
NPI
1558130922
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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
1001 N GRANT ST
LEBANON, IN 46052-1944
Phone number: 501-394-2100
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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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