Pleasant Pines

NPI #1629750427 in Mendon, Michigan

Provider Information

NPI Number: 1629750427
Entity Type: Organization
Organization Name: Pleasant Pines
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 2, 2023
Last Updated: Aug 2, 2023

Practice Location

Address: 55871 FRANK JONES RD
City: Mendon
State: Michigan
ZIP Code: 49072-8731
Phone: (269) 496-9667

Authorized Official

Name: AUTUMN GAYLE TAYLOR
Title: HOME OWNER/LICENSEE
Phone: (269) 213-7781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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