Provider Demographics
NPI:1669637161
Name:FREDERICKSBURG
Entity Type:Organization
Organization Name:FREDERICKSBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:LADMIRAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-372-1127
Mailing Address - Street 1:200 GUNNERY RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-6100
Mailing Address - Country:US
Mailing Address - Phone:540-372-1127
Mailing Address - Fax:540-371-9843
Practice Address - Street 1:200 GUNNERY RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-6100
Practice Address - Country:US
Practice Address - Phone:540-372-1127
Practice Address - Fax:540-371-9843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251300000X
251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)