Provider Demographics
NPI:1912390337
Name:EVANGELISTIC OUTREACH MINISTRIES INC
Entity Type:Organization
Organization Name:EVANGELISTIC OUTREACH MINISTRIES INC
Other - Org Name:COUNCIL COMMUNITY ADULT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILLICENT
Authorized Official - Middle Name:E
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-874-1312
Mailing Address - Street 1:34 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:COUNCIL
Mailing Address - State:NC
Mailing Address - Zip Code:28434-8406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34 WARREN AVE
Practice Address - Street 2:
Practice Address - City:COUNCIL
Practice Address - State:NC
Practice Address - Zip Code:28434-8406
Practice Address - Country:US
Practice Address - Phone:910-991-1386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services