Organization
GOODWIN HOUSE INCORPORATED
Active
Other names
Goodwin House Alexandria
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHLEEN S ANDERSON (CEO)
(703) 824-1355
Entity
Organization
Contact information
Practice address
4800 FILLMORE AVE, ALEXANDRIA, VA 22311-5070
(703) 824-1290
(703) 824-1241
Mailing address
4800 FILLMORE AVE, ALEXANDRIA, VA 22311-5070
(703) 824-1290
(703) 824-1241
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2560
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4950577
—
VA
Enumeration date
11/05/2005
Last updated
01/11/2013
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