The Village of Tidewater, LLC
NPI #1457211773 in Norfolk, Virginia
Provider Information
- NPI Number
- 1457211773
- Entity Type
- Organization
- Organization Name
- The Village of Tidewater, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 18, 2025
- Last Updated
- Nov 18, 2025
Practice Location
Authorized Official
- Name
- SHAQUANNA TIMISHA GODWIN
- Title
- ADMINISTRATOR
- Phone
- (757) 937-5991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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