Organization
GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Active
Parent organization
GOODWIN HOUSE INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOODWIN HOUSE INCORPORATED
Authorized official
MELINDA T GREN (VP PERFORMANCE AND OPERATIONS, HCBS)
(703) 578-7195
Entity
Organization
Contact information
Practice address
3440 S JEFFERSON ST, FALLS CHURCH, VA 22041-3145
(703) 578-7469
Mailing address
4800 FILLMORE AVE, ALEXANDRIA, VA 22311-5070
(703) 578-7195
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/11/2026
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