Provider Demographics
NPI:1497221261
Name:FAMILY LEADER CORP
Entity Type:Organization
Organization Name:FAMILY LEADER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIKSETIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-226-4405
Mailing Address - Street 1:2277 HOMECREST AVE APT 2V
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4119
Mailing Address - Country:US
Mailing Address - Phone:646-226-4405
Mailing Address - Fax:347-365-3367
Practice Address - Street 1:2277 HOMECREST AVE APT 2V
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4119
Practice Address - Country:US
Practice Address - Phone:646-226-4405
Practice Address - Fax:347-365-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care