# OUTREACH COMMUNITY CARE NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720260722
- **Authorized official:** MS. LORETTA JENNINGS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (386) 255-5569

## Contact information

- **Practice address:** 240 N FREDERICK AVE, SUITE A, DAYTONA BEACH, FL 32114
- **Practice address phone:** (386) 255-5569
- **Practice address fax:** (386) 257-1245
- **Mailing address:** PO BOX 9177, DAYTONA BEACH, FL 32120-9177
- **Mailing address phone:** (386) 255-5569
- **Mailing address fax:** (386) 257-1245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 11/30/2007