| NPI | 1255673729 |
|---|---|
| Doing Business As | HERITAGE PRIDE HUMAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | OTHUMAN W NTALE CEO/ President 781-535-4929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |