# MAMA DORIS FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mama Doris Foundation Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003594417
- **Authorized official:** MAGGIE JENTZEN (ADMINISTRATOR)
- **Authorized official phone:** (774) 261-8482

## Contact information

- **Practice address:** 360 W BOYLSTON ST RM 215, WEST BOYLSTON, MA 01583-2368
- **Practice address phone:** (774) 261-8482
- **Practice address fax:** (774) 261-8480
- **Mailing address:** 360 W BOYLSTON ST RM 215, WEST BOYLSTON, MA 01583-2368
- **Mailing address phone:** (774) 261-8482
- **Mailing address fax:** (774) 261-8480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2023
- **Last updated:** 08/14/2023