WESTERN TIDEWATER COMMUNITY SERVICES BOARD NPI 1104873330

NPI Information

  • NPI: 1104873330
  • Provider Name: WESTERN TIDEWATER COMMUNITY SERVICES BOARD
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: THE NEIGHBOUR'S PLACE ICF/IID
  • Address: 22501 THOMAS WOODS TRL
    ZUNI, VA
    ZIP 23898
  • Phone: (757) 242-4506

Map and Directions

Get Directions

NPI Details

WESTERN TIDEWATER COMMUNITY SERVICES BOARD is an intermediate care facility mentally retarded in Zuni, VA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. WESTERN TIDEWATER COMMUNITY SERVICES BOARD NPI is 1104873330. The provider is registered as an organization entity type.
The provider Is Doing Business As The Neighbour's Place Icf/iid.

The provider's business location address is:

22501 THOMAS WOODS TRL
ZUNI, VA
ZIP 23898-611
Phone: (757) 242-4506

The provider's authorized official is Marion Young .
The authorized official title is Finance Supervisor and has the following contact phone number (757) 687-9087.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 2/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.