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Organization

ABODE CARE PARTNERS AL VB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE MATTINGLY (MANAGER-PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization

Contact information

Practice address
919 MEDICAL PARK DR, MOUNTAIN CITY, TN 37683-1042
(423) 727-7800
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
12/28/2023
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