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Organization
PLEASANT PINES
Active
Organization
PLEASANT PINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN GAYLE TAYLOR (HOME OWNER/LICENSEE)
(269) 213-7781
Entity
Organization
Contact information
Practice address
55871 FRANK JONES RD, MENDON, MI 49072-8731
(269) 496-9667
(269) 496-9765
Mailing address
55871 FRANK JONES RD, MENDON, MI 49072-8731
(269) 496-9667
(269) 496-9765
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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