Organization
LOUISE W. EGGLESTON CENTER
Active
Other names
Eggleston Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE WILBER (CHIEF OPERATING OFFICER)
(757) 858-8011
Entity
Organization
Contact information
Practice address
6431 TIDEWATER DR, NORFOLK, VA 23509-1600
(757) 858-8011
(757) 858-8057
Mailing address
1161 INGLESIDE RD, NORFOLK, VA 23502-5608
(757) 858-8011
(757) 627-4760
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
16702006
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
16701001
VA
Other
Enumeration date
05/19/2006
Last updated
09/11/2025
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