Organization
ABODE CARE PARTNERS LTC VB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISHA CONNOR (PROVIDER ENROLLMENT MANAGER)
(502) 630-7421
Entity
Organization
Contact information
Practice address
1000 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-2073
(501) 267-9870
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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