Organization
CALATHEA, LLC
Active
Parent organization
CALATHEA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALATHEA, LLC
Authorized official
MRS. RUTHETTE FANNIN (CASE MANAGER)
(540) 993-3266
Entity
Organization
Contact information
Practice address
8613 BRIGHTON CT, FREDERICKSBURG, VA 22408-7721
(540) 993-3266
(540) 834-0475
Mailing address
PO BOX 73, THORNBURG, VA 22565-0073
(540) 993-3266
(540) 834-0475
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578913455
—
VA
Enumeration date
06/21/2016
Last updated
05/16/2024
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