Organization
GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Active
Parent organization
GOODWIN HOUSE INCORPORATED
Other names
Goodwin Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOODWIN HOUSE INCORPORATED
Authorized official
MELINDA T GREN PT, DPT (VP PERFORMANCE AND OPERATIONS, HCBS)
(703) 578-7195
Entity
Organization
Contact information
Practice address
5000 FAIRBANKS AVE, ALEXANDRIA, VA 22311-1246
(703) 578-7195
Mailing address
5000 FAIRBANKS AVE, ALEXANDRIA, VA 22311-1246
(703) 797-3869
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/27/2022
Last updated
05/22/2025
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