Organization
GOODWIN HOUSE INCORPORATED
Active
Parent organization
GOODWIN HOUSE INCORPORATED
Other names
Goodwin House Bailey's Crossroads
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOODWIN HOUSE INCORPORATED
Authorized official
ANDREW M SIEGEL (CHIEF BUSINESS DEVELOPMENT OFFICER)
(703) 578-7554
Entity
Organization
Contact information
Practice address
3440 S JEFFERSON ST, FALLS CHURCH, VA 22041-3145
(703) 578-7260
Mailing address
3440 S JEFFERSON ST, FALLS CHURCH, VA 22041-3145
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
ALF 447573-L155
VA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2559
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639258676
—
VA
Enumeration date
04/02/2013
Last updated
01/07/2025
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