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1972372225
ABODE CARE PARTNERS LTC VB, LLC
MOUNTAIN CITY, TN
NPI
1972372225
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Entity Type
Organization
Authorized Contact
ANGIE MATTINGLY
Mgr Provider Enrollment
502-420-2512
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
919 MEDICAL PARK DR
MOUNTAIN CITY, TN 37683-1042
Phone number: 423-727-7800
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Mailing Address
ABODE CARE PARTNERS LTC VB, LLC
805 N WHITTINGTON PKWY
LOUISVILLE, KY 40222-7101
Phone number:
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