Organization
TIDEWATER SUPERIOR HOME SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK SAUNDERS (CEO)
(757) 802-7600
Entity
Organization
Contact information
Practice address
500 E MAIN ST # 1545, NORFOLK, VA 23510-2205
(757) 802-7600
Mailing address
500 E MAIN ST # 1600-7, NORFOLK, VA 23510-2205
(757) 802-7600
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
07/30/2025
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