# DIVINE CASE MANAGEMENT,LLC

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

## Provider details

- **NPI number:** 1720302839
- **Authorized official:** ANGELIA D. STEWART (PROGRAM DIRECTOR)
- **Authorized official phone:** (318) 683-3553

## Contact information

- **Practice address:** 6007 FIANCIAL PLAZA SUITE \#107, SHREVEPORT, LA 71129
- **Practice address phone:** (318) 683-3553
- **Practice address fax:** (318) 683-3554
- **Mailing address:** 6007 FIANCIAL PLAZA SUITE \#107, SHREVEPORT, LA 71129
- **Mailing address phone:** (318) 683-3553
- **Mailing address fax:** (318) 683-3554

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2010
- **Last updated:** 03/18/2010