Organization
PRIMETIME CHRONIC CARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATNENA LUSTER NP (MANAGING PROVIDER)
(901) 288-5200
Entity
Organization
Contact information
Practice address
117 AUTUMN CREEK DR, MADISONVILLE, LA 70447-3603
(901) 626-2129
Mailing address
33 CHURCH STREET, GREENSBURG, LA 70441
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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