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NPI Code Detail

MEDICARE: GOODWIN HOUSE INCORPORATED

MEDICARE: GOODWIN HOUSE INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1588740617
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOODWIN HOUSE INCORPORATED
Provider Business Mailing Address
First Line : 3440 S JEFFERSON ST
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22041-3145
Country : US
Telephone Number : 703-578-7108
Fax Number : 703-578-7355
Provider Business Practice Location Address
First Line : 3440 S JEFFERSON ST
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22041-3145
Country : US
Telephone Number : 703-578-7108
Fax Number : 703-578-7355
Authorized Official
Title or Position : CHIEF BUSINESS DEVELOPMENT OFFICER
Name : ANDREW M SIEGEL
Credential :
Telephone Number : 703-578-7554
Provider Enumeration Date : 10/31/2006
Last Update Date : 01/07/2025

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Directions to “GOODWIN HOUSE INCORPORATED ” Practice Location

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