Organization
GOODWIN HOUSE HOME AND COMMUNITY BASED SERVICES
Active
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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