Organization
LA CASA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA LASHE' HICKSON (VP/COO)
(804) 353-0461
Entity
Organization
Contact information
Practice address
5621 BACKWATER TERRACE, N. CHESTERFIELD, VA 23234
(804) 353-0461
(804) 497-7401
Mailing address
P.O. BOX 72922, N. CHESTERFIELD, VA 23235-2922
(804) 353-0461
(804) 497-7401
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
06/04/2019
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