Provider Demographics
NPI:1932820321
Name:MUSKINGUM COUNTY CENTER FOR SENIORS
Entity Type:Organization
Organization Name:MUSKINGUM COUNTY CENTER FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-454-9761
Mailing Address - Street 1:160 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-3518
Mailing Address - Country:US
Mailing Address - Phone:740-454-9761
Mailing Address - Fax:740-454-3309
Practice Address - Street 1:160 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-3518
Practice Address - Country:US
Practice Address - Phone:740-454-9761
Practice Address - Fax:740-454-3309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals