| NPI | 1902268857 |
|---|---|
| Professional Name | DENNIS FUENTES CELESTE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MN 9275) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-21 |