Organization
DIVINE CASE MANAGEMENT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIA D. STEWART (PROGRAM DIRECTOR)
(318) 683-3553
Entity
Organization
Contact information
Practice address
6007 FIANCIAL PLAZA SUITE #107, SHREVEPORT, LA 71129
(318) 683-3553
(318) 683-3554
Mailing address
6007 FIANCIAL PLAZA SUITE #107, SHREVEPORT, LA 71129
(318) 683-3553
(318) 683-3554
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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