Organization
HERITAGE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAL KUYATEH (OWNER)
(781) 535-4328
Entity
Organization
Contact information
Practice address
39 PAGE TER APT B9, STOUGHTON, MA 02072-4639
(781) 535-4328
Mailing address
39 PAGE TER APT B9, STOUGHTON, MA 02072-4639
(781) 535-4328
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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