Organization
MOUNT PLEASANT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLIN SOUTHWICK (EXECUTIVE DIRECTOR)
(617) 522-7600
Entity
Organization
Contact information
Practice address
301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4807
(617) 522-7600
(617) 522-0201
Mailing address
301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4807
(617) 522-7600
(617) 522-0201
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1096 (DEPT PUB HLTH)
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5500923
—
MA
Enumeration date
09/26/2005
Last updated
08/22/2020
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