Provider Demographics
NPI:1366000267
Name:TRACY K WEISS LLC DBA RIGHT AT HOME
Entity type:Organization
Organization Name:TRACY K WEISS LLC DBA RIGHT AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:CSA, CNA
Authorized Official - Phone:203-269-4400
Mailing Address - Street 1:7 WALLACE ROW
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-3136
Mailing Address - Country:US
Mailing Address - Phone:203-269-4400
Mailing Address - Fax:203-678-4359
Practice Address - Street 1:7 WALLACE ROW
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-3136
Practice Address - Country:US
Practice Address - Phone:203-269-4400
Practice Address - Fax:203-678-4359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care