# PLEASANT PINES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629750427
- **Authorized official:** AUTUMN GAYLE TAYLOR (HOME OWNER/LICENSEE)
- **Authorized official phone:** (269) 213-7781

## Contact information

- **Practice address:** 55871 FRANK JONES RD, MENDON, MI 49072-8731
- **Practice address phone:** (269) 496-9667
- **Practice address fax:** (269) 496-9765
- **Mailing address:** 55871 FRANK JONES RD, MENDON, MI 49072-8731
- **Mailing address phone:** (269) 496-9667
- **Mailing address fax:** (269) 496-9765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2023
- **Last updated:** 08/02/2023