# DIVINE IMPACT CASE MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487309225
- **Authorized official:** PATRICE PASLEY (CEO)
- **Authorized official phone:** (504) 330-0788

## Contact information

- **Practice address:** 2740 BAYOU DES CANNES DR, MARRERO, LA 70072-6572
- **Practice address phone:** (504) 330-0788
- **Mailing address:** 2740 BAYOU DES CANNES DR, MARRERO, LA 70072-6572
- **Mailing address phone:** (504) 330-0788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 02/21/2022