Organization Name: | GOODWIN HOUSE BAILEY'S CROSSROADS |
NPI Number: | 1497098008 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN DOYLE (DIRECTOR OF NURSING) |
Mailing Address: | 3440 S Jefferson St Falls Church |
State: | VA US |
Postal Code: | 220413145 |
Phone Number: | 7035787260 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2013 |
NPI Last Update Date: | 04/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | ALF 447573-L155 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |