Provider Demographics
NPI:1356812903
Name:WEISLEDER FAMILY CARE CORP
Entity type:Organization
Organization Name:WEISLEDER FAMILY CARE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISLEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-737-9960
Mailing Address - Street 1:419 NORTHFIELD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3091
Mailing Address - Country:US
Mailing Address - Phone:917-528-2399
Mailing Address - Fax:
Practice Address - Street 1:419 NORTHFIELD AVE STE 2
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-3091
Practice Address - Country:US
Practice Address - Phone:917-528-2399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care