Abode Care Partners Ltc Vb, LLC
NPI #1972372225 in Mountain City, Tennessee
Provider Information
- NPI Number
- 1972372225
- 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
- 919 MEDICAL PARK DR
- City
- Mountain City
- State
- Tennessee
- ZIP Code
- 37683-1042
- Phone
- (423) 727-7800
Authorized Official
- Name
- ANGIE MATTINGLY
- Title
- MGR PROVIDER ENROLLMENT
- Phone
- (502) 420-2512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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