Provider Demographics
NPI:1336389964
Name:PORTAGE COUNTY ESC
Entity Type:Organization
Organization Name:PORTAGE COUNTY ESC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRESCTOR OF EXCEPTIONALITIES
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:GERMAIN
Authorized Official - Last Name:TOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-297-1436
Mailing Address - Street 1:326 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3136
Mailing Address - Country:US
Mailing Address - Phone:330-297-1436
Mailing Address - Fax:
Practice Address - Street 1:326 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3136
Practice Address - Country:US
Practice Address - Phone:330-297-1436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)