Organization
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Active
Other names
The Neighbour's Place ICF/IID
Organization subpart
No
Provider details
NPI number
Authorized official
MARION YOUNG (FINANCE SUPERVISOR)
(757) 687-9087
Entity
Organization
Contact information
Practice address
22501 THOMAS WOODS TRL, ZUNI, VA 23898-2611
(757) 242-4506
Mailing address
7025 HARBOUR VIEW BLVD STE 119, SUFFOLK, VA 23435-2762
(757) 687-9087
(757) 673-2586
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
02/28/2023
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