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Organization
ABODE CARE PARTNERS LTC VB, LLC
Active
Organization
ABODE CARE PARTNERS LTC VB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
2529 SIX MILE LN, LOUISVILLE, KY 40220-2934
(800) 807-6555
(855) 316-2999
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
06/01/2026
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