Organization
PRIMECARE AT HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMIE LATRICE CHESTANG (ADMINISTRATOR/OWNER)
(314) 546-0217
Entity
Organization
Contact information
Practice address
11300 PARKMONT DR, SAINT LOUIS, MO 63138-2335
(314) 546-0217
Mailing address
11300 PARKMONT DR, SAINT LOUIS, MO 63138-2335
(314) 546-0217
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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