Abode Care Partners Ltc Vb, LLC
NPI #1215706494 in Rock Island, Illinois
Provider Information
- NPI Number
- 1215706494
- Entity Type
- Organization
- Organization Name
- Abode Care Partners Ltc Vb, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 28, 2023
- Last Updated
- Dec 28, 2023
Practice Location
- Address
- 2545 24TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-5305
- Phone
- (877) 558-8181
Authorized Official
- Name
- ANGIE MATTINGLY
- Title
- MGR PROVIDER ENROLLMENT
- Phone
- (502) 394-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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