Organization
WOMENS LEAGUE COMMUNITY RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SEEWALD (CEO)
(718) 853-0900
Entity
Organization
Contact information
Practice address
4022 12TH AVE, BROOKLYN, NY 11218-1907
(718) 853-0900
(718) 633-6816
Mailing address
1400 CONEY ISLAND AVENUE, BROOKLYN, NY 11230
(718) 853-0900
(718) 633-6816
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01156647
—
NY
Enumeration date
05/15/2007
Last updated
08/11/2025
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