Provider Demographics
NPI:1568458875
Name:PLEASANT ACRES REST HOME, INC
Entity Type:Organization
Organization Name:PLEASANT ACRES REST HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASSUNTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-853-8333
Mailing Address - Street 1:107 E MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-1401
Mailing Address - Country:US
Mailing Address - Phone:508-853-8333
Mailing Address - Fax:508-852-5591
Practice Address - Street 1:107 E MOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-1401
Practice Address - Country:US
Practice Address - Phone:508-853-8333
Practice Address - Fax:508-852-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness