Organization
ABODE CARE PARTNERS AL VB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (PROVIDER ENROLLMENT SPECIALIST)
(502) 420-2512
Entity
Organization
Contact information
Practice address
2651 COMPASS RD STE 100, GLENVIEW, IL 60026-8004
(877) 558-8181
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
08/07/2026
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