NPI 1104873330

Western Tidewater Community Services Board

Organisation Intellectual Disabilities Intermediate Care Facility Zuni, VA

Practice location

Address: 22501 Thomas Woods Trl, Zuni, VA 23898-2611
Phone: (757) 242-4506
Mailing address: 7025 Harbour View Blvd STE 119, Suffolk, VA 23435-2762

Authorised official

Name: Marion Young
Title: Finance Supervisor
Phone: (757) 687-9087

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Virginia →

Registry record

NPI: 1104873330
Entity type: Organization
NPI issued: 31 May 2006
Record last updated: 28 Feb 2023

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.