WESTERN TIDEWATER COMMUNITY SERVICES BOARD

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1689928996

Practice Address

4373 PRUDEN BOULEVARD
Suffolk, VA 23434

Phone: (757) 255-7127

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes 08401005 (VA)

Frequently Asked Questions

NPI 1689928996 is the National Provider Identifier for WESTERN TIDEWATER COMMUNITY SERVICES BOARD, a Intermediate Care Facility, Intellectual Disabilities provider located in Suffolk, VA. This NPI was enumerated on November 8, 2012.

Quick Facts

NPI
1689928996
Type
Organization
Enumerated
Nov 8, 2012
Last Updated
Jan 29, 2024

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