Provider Demographics
NPI:1649143058
Name:SAND AND SANDALS OUTREACH MINISTRIES
Entity type:Organization
Organization Name:SAND AND SANDALS OUTREACH MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LERAE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-745-7724
Mailing Address - Street 1:PO BOX 705
Mailing Address - Street 2:
Mailing Address - City:BAYBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28515-0705
Mailing Address - Country:US
Mailing Address - Phone:252-745-7724
Mailing Address - Fax:252-745-7724
Practice Address - Street 1:PO BOX 705
Practice Address - Street 2:
Practice Address - City:BAYBORO
Practice Address - State:NC
Practice Address - Zip Code:28515-0705
Practice Address - Country:US
Practice Address - Phone:252-745-7724
Practice Address - Fax:252-745-7724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle