Organization
OUTREACH COMMUNITY CARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA JENNINGS (EXECUTIVE DIRECTOR)
(386) 255-5569
Entity
Organization
Contact information
Practice address
240 N FREDERICK AVE, SUITE A, DAYTONA BEACH, FL 32114
(386) 255-5569
(386) 257-1245
Mailing address
PO BOX 9177, DAYTONA BEACH, FL 32120-9177
(386) 255-5569
(386) 257-1245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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