NPI 1093768921

Louise W. Eggleston Center

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Norfolk, VA

Practice location

Address: 6431 Tidewater Dr, Norfolk, VA 23509-1600
Phone: (757) 858-8011
Fax: (757) 858-8057
Mailing address: 1161 Ingleside Rd, Norfolk, VA 23502-5608

Authorised official

Name: Dave Wilber
Title: Chief Operating Officer
Phone: (757) 858-8011

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 16701001 (VA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X Licence 16702006 (VA)

Other Day Training, Developmentally Disabled Services providers in Virginia →

Registry record

NPI: 1093768921
Entity type: Organization
NPI issued: 19 May 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.