Organization
FUENTES COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN KARANJA MAT (OWNER)
(774) 530-1938
Entity
Organization
Contact information
Practice address
59 MERRIAM AVE STE 201, LEOMINSTER, MA 01453-3158
(774) 530-1938
Mailing address
59 MERRIAM AVE STE 201, LEOMINSTER, MA 01453-3158
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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