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1770808446
ABODE CARE PARTNERS AL VB, LLC
LEXINGTON PK, MD
NPI
1770808446
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Entity Type
Organization
Authorized Contact
ANGIE MATTINGLY
Mgr Provider Enrollment
502-394-2100
Organization Subpart ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2010-04-06
Last Update Date
2023-12-26
Business Address
ABODE CARE PARTNERS AL VB, LLC
21412 GREAT MILLS RD
LEXINGTON PK, MD 20653-1203
Phone number: 301-863-7244
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Mailing Address
ABODE CARE PARTNERS AL VB, LLC
12201 BLUEGRASS PKWY
LOUISVILLE, KY 40299-2361
Phone number: 502-568-7896
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