Provider Demographics
NPI:1811385628
Name:OUTLOOK HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:OUTLOOK HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DESTINEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-537-5498
Mailing Address - Street 1:853 N MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1424
Mailing Address - Country:US
Mailing Address - Phone:978-537-5498
Mailing Address - Fax:
Practice Address - Street 1:853 N MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1424
Practice Address - Country:US
Practice Address - Phone:978-537-5498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-31
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health