National Provider Identifier Database

DIVINE COMMUNITY ADVOCATES
Voluntary or Charitable


Contact Information

DIVINE COMMUNITY ADVOCATES
6515 LIGHTHOUSE DRIVE
SUITE 204
PORTAGE, IN46368
Phone: 870-816-7570
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for DIVINE COMMUNITY ADVOCATES

NPI Number 1184373052
Legal business name
LBN
DIVINE COMMUNITY ADVOCATES
Authorized official FREDDREKA RICHARDSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/19/2022
Last updated 03/19/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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