NPI 1821535360

Primetime Chronic Care Management, LLC

Organisation Prevention Professional Madisonville, LA

Practice location

Address: 117 Autumn Creek Dr, Madisonville, LA 70447-3603
Phone: (901) 626-2129
Mailing address: 33 Church Street, Greensburg, LA 70441

Authorised official

Name: Atnena Luster
Title: Managing Provider
Phone: (901) 288-5200

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Registry record

NPI: 1821535360
Entity type: Organization
NPI issued: 23 Jan 2017
Record last updated: 23 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.