Abode Care Partners Ltc Vb, LLC

NPI #1366211534 in Johnston, Iowa

Provider Information

NPI Number
1366211534
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
9249 NORTHPARK DR
State
Iowa
ZIP Code
50131-2933
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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