# DIVINE CASE MANAGEMENT,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Divine Case Management,LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952565715
- **Authorized official:** MRS. MARY K CALDWELL (ADMINISTRATOR)
- **Authorized official phone:** (318) 938-5375

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | CM27002 | LA | Yes |

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 07/10/2008