# MAYA HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447972575
- **Authorized official:** FABIOLA DESROSIERS (OWNER / DIRECTOR OF NURSING)
- **Authorized official phone:** (617) 516-7102

## Contact information

- **Practice address:** 10 MAZZEO DR STE 203, RANDOLPH, MA 02368-3433
- **Practice address phone:** (617) 516-7102
- **Mailing address:** 10 MAZZEO DR STE 203, RANDOLPH, MA 02368-3433
- **Mailing address phone:** (617) 516-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2022
- **Last updated:** 09/15/2022