Whalio Doctors

NPI 1447041504

Vidal Care Residency LLC

Organisation Assisted Living Facility (Mental Illness) Suffolk, VA

Practice location

Address
109 Crocker St, Suffolk, VA 23434-2605
Phone
(757) 809-0301
Mailing address
126 Bowrider Dr, Suffolk, VA 23435-4117

Authorised official

Name
Leary Williams
Title
Co-Owner
Phone
(757) 609-1534

Registered specialties (4)

Assisted Living Facility (Mental Illness) Primary
Nursing & Custodial Care Facilities Taxonomy 3104A0625X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X

Registry record

NPI
1447041504
Entity type
Organization
NPI issued
16 May 2025
Record last updated
16 May 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.