| Goodwin House Home And Community Based Services | |
|
5000 Fairbanks Ave Alexandria VA 22311-1246 | |
| (703) 797-3869 | |
| Not Available |
| Full Name | Goodwin House Home And Community Based Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5000 Fairbanks Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Melinda T Gren (VP PERFORMANCE AND OPERATIONS, HCBS) |
| Authorized Official Contact | 7035787195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwin House Home And Community Based Services 4800 Fillmore Ave Alexandria VA 22311-5070 Ph: (703) 578-7195 | Goodwin House Home And Community Based Services 5000 Fairbanks Ave Alexandria VA 22311-1246 Ph: (703) 797-3869 |
| NPI Number | 1831881481 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831881481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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