Outreach Deliverance Center, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

OUTREACH DELIVERANCE CENTER, INC

Practice address

253 Magnolia Park TRL
Sanford, FL 32773-7215

Phone

(407) 402-2210

NPI assigned

Apr 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tammy Nicole Bennett

Title

President

Phone

(407) 402-2210

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650758400000",
    "number": "1124762331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 MAGNOLIA PARK TRL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737215",
            "telephone_number": "407-402-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 MAGNOLIA PARK TRL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737215",
            "telephone_number": "407-402-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH DELIVERANCE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-402-2210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bennetnicole253@att.net",
            "affiliation": "N",
            "address_1": "253 Magnolia Park Trl",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327737215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Voluntary or Charitable Agency in Sanford, FL
• Providers in Sanford, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.