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Organization

2ND CORINTHIANS OUTREACH MINISTRIES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLERMINE BROOKINS MS (PRESIDENT)
(772) 940-6755
Entity
Organization

Contact information

Practice address
3680 SE GATEHOUSE CIR APT 236, STUART, FL 34994-5036
(772) 940-6755
Mailing address
3680 SE GATEHOUSE CIR APT 236, STUART, FL 34994-5036
(772) 940-6755

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578931424
FL
Enumeration date
09/09/2015
Last updated
03/10/2021
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