Provider Demographics
NPI:1801498357
Name:MOUNTAIN VIEW PLEASANT LIVING INC
Entity type:Organization
Organization Name:MOUNTAIN VIEW PLEASANT LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:WESSBERG
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-705-2649
Mailing Address - Street 1:2258 MENTONE BLVD.,
Mailing Address - Street 2:
Mailing Address - City:MENTONE
Mailing Address - State:CA
Mailing Address - Zip Code:92359-9582
Mailing Address - Country:US
Mailing Address - Phone:909-810-1500
Mailing Address - Fax:909-810-1500
Practice Address - Street 1:2258 MENTONE BLVD.,
Practice Address - Street 2:
Practice Address - City:MENTONE
Practice Address - State:CA
Practice Address - Zip Code:92359-9582
Practice Address - Country:US
Practice Address - Phone:909-810-1500
Practice Address - Fax:909-810-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility