Abode Care Partners Al Vb, LLC

NPI #1104695550 in Mason, Ohio

Provider Information

NPI Number
1104695550
Entity Type
Organization
Organization Name
Abode Care Partners Al Vb, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Dec 27, 2023
Last Updated
Dec 27, 2023

Practice Location

Address
5467 CEDAR VILLAGE DR
City
Mason
State
Ohio
ZIP Code
45040-8693
Phone
(513) 754-3100

Authorized Official

Name
ANGIE MATTINGLY
Title
MGR PROVIDER ENROLLMENT
Phone
(502) 394-2100

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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