# MOUNT PLEASANT HOME

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

## Provider details

- **NPI number:** 1942296793
- **Authorized official:** MERLIN SOUTHWICK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (617) 522-7600

## Contact information

- **Practice address:** 301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4807
- **Practice address phone:** (617) 522-7600
- **Practice address fax:** (617) 522-0201
- **Mailing address:** 301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4807
- **Mailing address phone:** (617) 522-7600
- **Mailing address fax:** (617) 522-0201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1096 (DEPT PUB HLTH) | MA | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 08/22/2020