LUCAS LODGE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Portsmouth, VA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LUCAS LODGE, LLC NPI is 1205851110. The provider is registered as an organization entity type.
The provider's business location address is:
1214 COUNTY ST
PORTSMOUTH, VA
ZIP 23704-240
Phone: (757) 397-8200
Fax: (757) 397-8224
The provider's authorized official is Lisa Lucas Burke .
The authorized official title is Assistant Executive Director and has the following contact phone number (757) 397-8200.
The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/22/2020.