Provider Demographics
NPI:1427270081
Name:HEALTHY OUTLOOK MANAGEMENT ENTERPRISES
Entity type:Organization
Organization Name:HEALTHY OUTLOOK MANAGEMENT ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATION
Authorized Official - Phone:318-466-1411
Mailing Address - Street 1:2380 AIRBASE RD
Mailing Address - Street 2:
Mailing Address - City:DRY PRONG
Mailing Address - State:LA
Mailing Address - Zip Code:71423
Mailing Address - Country:US
Mailing Address - Phone:318-466-1411
Mailing Address - Fax:318-466-1409
Practice Address - Street 1:2380 AIRBASE RD
Practice Address - Street 2:
Practice Address - City:DRY PRONG
Practice Address - State:LA
Practice Address - Zip Code:71423
Practice Address - Country:US
Practice Address - Phone:318-466-1411
Practice Address - Fax:318-466-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP3327363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty