NPI 1184373052
Divine Community Advocates
Practice location
- Address
- 6515 Lighthouse Drive Suite 204, Portage, IN 46368
- Phone
- (870) 816-7570
Authorised official
- Name
- Freddreka Richardson
- Title
- President
- Phone
- (219) 796-0556
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1184373052
- Entity type
- Organization
- NPI issued
- 19 Mar 2022
- Record last updated
- 19 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.