Provider Demographics
NPI:1851437982
Name:PLEASANT RIVER HOMESTEAD
Entity Type:Organization
Organization Name:PLEASANT RIVER HOMESTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENISE BATSON
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:B BATSON
Authorized Official - Last Name:HANDY
Authorized Official - Suffix:
Authorized Official - Credentials:DSP & CRMA CERTIFIED
Authorized Official - Phone:207-483-2884
Mailing Address - Street 1:380 E SIDE RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:ME
Mailing Address - Zip Code:04606-3217
Mailing Address - Country:US
Mailing Address - Phone:207-483-2884
Mailing Address - Fax:
Practice Address - Street 1:380 E SIDE RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:ME
Practice Address - Zip Code:04606-3217
Practice Address - Country:US
Practice Address - Phone:207-483-2884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities