Healthcare Provider Details

I. General information

NPI: 1508045873
Provider Name (Legal Business Name): NEW OUTLOOKS ADULT DAY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4197 HWY 80
MORTON MS
39117
US

IV. Provider business mailing address

4197 HWY 80
MORTON MS
39117
US

V. Phone/Fax

Practice location:
  • Phone: 601-732-8002
  • Fax: 601-732-8042
Mailing address:
  • Phone: 601-732-8002
  • Fax: 601-732-8042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: BARBARA ROBINSON
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 601-732-8002