My Father's House Inc.

NPI #1083900047 in Martinsburg, West Virginia

Provider Information

NPI Number
1083900047
Entity Type
Organization
Organization Name
My Father's House Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
FULL GOSPEL FELLOWSHIP
Primary Specialty
Voluntary or Charitable
Enumeration Date
Jun 28, 2011
Last Updated
Jul 18, 2011

Practice Location

Address
101 MEDICAL CT STE 212
ZIP Code
25401-3854
Phone
(304) 885-0017

Authorized Official

Name
DR. FELICIA S STEVENSON
Title
EXECUTIVE DIRECTOR
Phone
(304) 240-6339

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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