Provider Demographics
NPI:1821279621
Name:MUSKINGUM STARLIGHT INDUSTRIES, INC
Entity Type:Organization
Organization Name:MUSKINGUM STARLIGHT INDUSTRIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON-HUFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-453-3544
Mailing Address - Street 1:1401 BUSSEMER LANE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701
Mailing Address - Country:US
Mailing Address - Phone:740-453-4622
Mailing Address - Fax:
Practice Address - Street 1:1401 BUSSEMER LANE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-453-4622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUSKINGUM COUNTY BOARD OF MRDD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-20
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services