Provider Demographics
NPI:1659140440
Name:PLEASANT VIEW RESIDENTIAL SERVICES
Entity Type:Organization
Organization Name:PLEASANT VIEW RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAKARR
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:804-513-4343
Mailing Address - Street 1:7306 LARSEN MEWS
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-6175
Mailing Address - Country:US
Mailing Address - Phone:804-513-4343
Mailing Address - Fax:804-447-1163
Practice Address - Street 1:2610 GALENA AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23237-4640
Practice Address - Country:US
Practice Address - Phone:804-513-4343
Practice Address - Fax:804-447-1163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services