Organization
DIVINE IMPACT CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE PASLEY (CEO)
(504) 330-0788
Entity
Organization
Contact information
Practice address
2740 BAYOU DES CANNES DR, MARRERO, LA 70072-6572
(504) 330-0788
Mailing address
2740 BAYOU DES CANNES DR, MARRERO, LA 70072-6572
(504) 330-0788
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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