LUCAS LODGE, LLC
Residential Treatment Facilities at County St, Portsmouth, VA

License number
Virginia 341-01-001
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MRS. LISA LUCAS BURKE
Title: ASSISTANT EXECUTIVE DIRECTOR
Phone: (757) 397-8200
Address
Address
1214 County St, Portsmouth, VA 23704
National Provider ID: 1205851110
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Lucas Lodge, LLC

Portsmouth, VA

Industry:
Specialty Outpatient Clinic, Residential Home Health Care, Specialty Outpatient Clinic Home Health Care Services, ...
Doing business as:
Lucas Lodge
Phone:
(757) 397-8200 (Phone), (757) 558-9902 (Phone)
Addresses:
1819 Elm Ave, Portsmouth, VA 23704
PO Box 700, Portsmouth, VA 23705
1214 County St, Portsmouth, VA 23704
Assistant Directors:
Lisa Lucas (Branch Manager, Assistant Director, Director, Member),Teresa Lucas (Director),Lisa Berk Branch Manager, Assistant Director, Assistant Executive Director, Director, Manager, inactive,...

Lucas Lodge, LLC

3 Langley Cir, Portsmouth, VA 23701

Industry:
Child Day Care Services, Specialty Outpatient Clinic Child Day Care Services
Doing business as:
Lucas Lodge Day Support
Phone:
(757) 558-1940 (Phone)
Principals:
Lisa Lucas (Principal),Lisa L. Burk Principal, inactive

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