Organization
POTOMAC LIGHTHOUSE PCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON RICHARDSON (PRINCIPAL)
(202) 526-6003
Entity
Organization
Contact information
Practice address
4401 8TH ST NE, WASHINGTON, DC 20017-2200
(202) 526-6003
(202) 526-6005
Mailing address
4401 8TH ST NE, WASHINGTON, DC 20017-2200
(202) 526-6003
(202) 526-6005
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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