Provider Demographics
NPI:1821296864
Name:A NEW OUTLOOK OF TAYLORSVILLE INC.
Entity Type:Organization
Organization Name:A NEW OUTLOOK OF TAYLORSVILLE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALFREDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:336-328-4890
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-0208
Mailing Address - Country:US
Mailing Address - Phone:828-635-8350
Mailing Address - Fax:828-635-8353
Practice Address - Street 1:360 WOOD RD NW
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-2040
Practice Address - Country:US
Practice Address - Phone:828-635-8350
Practice Address - Fax:828-635-8353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC002005311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home