Outreach Community Care Network

NPI #1720260722 in Daytona Beach, Florida

Provider Information

NPI Number
1720260722
Entity Type
Organization
Organization Name
Outreach Community Care Network
Primary Specialty
Case Management
Enumeration Date
Nov 30, 2007
Last Updated
Nov 30, 2007

Practice Location

Address
240 N FREDERICK AVE
Address 2
SUITE A
State
Florida
ZIP Code
32114
Phone
(386) 255-5569

Authorized Official

Name
MS. LORETTA JENNINGS
Title
EXECUTIVE DIRECTOR
Phone
(386) 255-5569

Specialties & Taxonomy Codes

Specialty
Case Management

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