OrganizationActive
Western Tidewater Community Services Board
NPI 1104873330 · Intellectual Disabilities Intermediate Care Facility · Zuni, VA
Provider details
- NPI number
- 1104873330
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Marion Young, Finance Supervisor
Mailing address
7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2023-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.