Western Tidewater Community Services Board
Western Tidewater Community Services Board is an Intellectual Disabilities Intermediate Care Facility in Suffolk, Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
437 Jackson StSuffolk, VA 23434-5314
Phone: (757) 255-7127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1275574402 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Demetrios Peratsakis — Executive Director · (757) 966-2805 |
| NPI enumerated | June 9, 2006 |
| Last updated in NPPES | February 28, 2023 |
| Certification date | February 28, 2023 |
| Mailing address | 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435-2762 |
Other providers in Suffolk
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Western Tidewater Community Services Board
404 Finney Ave, Suffolk, VA 23434-3852 · (757) 255-7127
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Western Tidewater Community Services Board
4373 Pruden Blvd, Suffolk, VA 23434 · (757) 255-7127
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Western Tidewater Community Services Board
1406 Blythewood Ln, Suffolk, VA 23434-2804 · (757) 255-7127