Abode Care Partners Al Vb, LLC
NPI #1992574354 in Louisville, Kentucky
Provider Information
- NPI Number
- 1992574354
- 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
- 2529 SIX MILE LN
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40220-2934
- Phone
- (502) 491-5560
Authorized Official
- Name
- ANGIE MATTINGLY
- Title
- MGR PROVIDER ENROLLMENT
- Phone
- (502) 394-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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