# DIVINE CASE MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1881860328
- **Authorized official:** MRS. MARY K CALDWELL ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (318) 938-5375

## Contact information

- **Practice address:** 7530 GREENWOOD ROAD, SHREVEPORT, LA 71119
- **Practice address phone:** (318) 938-5375
- **Practice address fax:** (318) 938-5376
- **Mailing address:** 7530 GREENWOOD ROAD, SHREVEPORT, LA 71047
- **Mailing address phone:** (318) 938-5375
- **Mailing address fax:** (318) 938-5376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | CM 27002 | LA | Yes |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 05/05/2008