Provider Demographics
NPI:1487218137
Name:GOD'S HOUSE INTERNATIONAL FOUNDATION
Entity Type:Organization
Organization Name:GOD'S HOUSE INTERNATIONAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON-TURAY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC
Authorized Official - Phone:240-482-6171
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20773-1551
Mailing Address - Country:US
Mailing Address - Phone:240-482-6171
Mailing Address - Fax:240-266-0592
Practice Address - Street 1:10111 MARTIN LUTHER KING AVENUE
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20722-2077
Practice Address - Country:US
Practice Address - Phone:240-482-6171
Practice Address - Fax:240-482-6171
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YVONNE WASHINGTON-TURAY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCRN61574OtherNP LICENSE
MD1821092883OtherNPI
MDR117867OtherNP LICENSE
MD1821092883OtherNPI
MDR117867OtherNP LICENSE