Provider Demographics
NPI:1881837847
Name:INTERNATIONAL WOMEN AND YOUTH EMPOWERMENT AND LEADERSHIP BUILDING ORGA
Entity Type:Organization
Organization Name:INTERNATIONAL WOMEN AND YOUTH EMPOWERMENT AND LEADERSHIP BUILDING ORGA
Other - Org Name:IWYELBO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTENSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-386-5515
Mailing Address - Street 1:6817 RED TOP RD APT 5
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-5924
Mailing Address - Country:US
Mailing Address - Phone:202-386-5515
Mailing Address - Fax:
Practice Address - Street 1:6817 RED TOP RD APT 5
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-5924
Practice Address - Country:US
Practice Address - Phone:202-386-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REV. AKUNJU AND AGENDIA HEALTH CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD10534543311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home