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DELIVERANCE CENTER - OUTREACH MINISTRY FOR CHRIST, INC.

Company Details

Entity Name: DELIVERANCE CENTER - OUTREACH MINISTRY FOR CHRIST, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 15 Aug 1989 (35 years ago)
Document Number: N33724
FEI/EIN Number 650141478
Mail Address: 2925 NW 4TH ST, FT LAUDERDALE, FL, 33311, US
Address: 3090 NW 7 ST., FORT LAUDERDALE, FL, 33311, US
ZIP code: 33311
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881317659 2022-09-26 2022-10-06 2925 NW 4TH ST, FORT LAUDERDALE, FL, 333118570, US 3090 NW 7TH ST, FORT LAUDERDALE, FL, 333117612, US

Contacts

Phone +1 954-807-8990

Authorized person

Name RANDOLPH JONES
Role PRESIDENT
Phone 9548078990

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 101YP1600X - Pastoral Counselor
Is Primary No
Taxonomy Code 104100000X - Social Worker
Is Primary No
Taxonomy Code 171M00000X - Case Manager/Care Coordinator
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes
Taxonomy Code 253J00000X - Foster Care Agency
Is Primary No
Taxonomy Code 3245S0500X - Children's Substance Abuse Rehabilitation Facility
Is Primary No
Taxonomy Code 343900000X - Non-emergency Medical Transport (VAN)
Is Primary No
Taxonomy Code 347C00000X - Private Vehicle
Is Primary No

Agent

Name Role Address
JONES ANDREW J Agent 2925 NW 4TH STREET, FORT LAUDERDALE, FL, 33311

President

Name Role Address
JONES JOHANNA L President 2731NW 26TH AVENUE, Oakland Park, FL, 33311

Vice President

Name Role Address
ROBINSON PAUL Vice President 520 NW 30TH Avenue, Fort Lauderdale, FL, 33311

Chairman

Name Role Address
Franklin Keith Chairman 2033 SW 117TH Avenue, Miramar, FL, 33025

Trustee

Name Role Address
Cornerstone Deliverance & Development Mini Trustee 2955 NW 4TH Street, FT LAUDERDALE, FL, 33311

Exec

Name Role Address
JONES ANDREW J Exec 2925 NW 4TH STRRET, FT. LAUDERDALE, FL, 33311

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000121281 CORNERSTONE COMMUNITY BEHAVIORAL HEATH ACTIVE 2022-09-26 2027-12-31 No data 2925 NW 4TH STREET, FT LAUDERDALE, FL, 33311

Events

Event Type Filed Date Value Description
CANCEL ADM DISS/REV 2008-12-24 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
CANCEL ADM DISS/REV 2007-03-02 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
AMENDMENT 1993-10-21 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State