Healthcare Provider Details
I. General information
NPI: 1861068603
Provider Name (Legal Business Name): PLEASANT VIEW OPERATING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2021
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
239 PLEASANT ST
CONCORD NH
03301-7504
US
IV. Provider business mailing address
282 RODNEY ST APT 2
BROOKLYN NY
11211-7500
US
V. Phone/Fax
- Phone: 603-224-6561
- Fax:
- Phone: 347-461-4961
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABRAHAM
EICHLER
Title or Position: OWNER
Credential:
Phone: 347-461-4961