Provider Demographics
NPI:1508045873
Name:NEW OUTLOOKS ADULT DAY SERVICES INC
Entity Type:Organization
Organization Name:NEW OUTLOOKS ADULT DAY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-732-8002
Mailing Address - Street 1:4197 HWY 80
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:MS
Mailing Address - Zip Code:39117
Mailing Address - Country:US
Mailing Address - Phone:601-732-8002
Mailing Address - Fax:601-732-8042
Practice Address - Street 1:4197 HWY 80
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:MS
Practice Address - Zip Code:39117
Practice Address - Country:US
Practice Address - Phone:601-732-8002
Practice Address - Fax:601-732-8042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00389569Medicaid
MS02704028OtherMEDICAID ETS
MS02583201OtherMEDICAID HM