NPI 1457211773
The Village of Tidewater, LLC
Practice location
- Address
- 1001 E 26th St STE 1, Norfolk, VA 23504-1801
- Phone
- (757) 937-5991
Authorised official
- Name
- Shaquanna Timisha Godwin
- Title
- Administrator
- Phone
- (757) 937-5991
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1457211773
- Entity type
- Organization
- NPI issued
- 18 Nov 2025
- Record last updated
- 18 Nov 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.