Organization
MUSKINGUM RESIDENTIALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRI L. ELSON (EXECUTIVE DIRECTOR)
(740) 453-5350
Entity
Organization
Contact information
Practice address
1900 MONTGOMERY AVE, ZANESVILLE, OH 43701-2617
(740) 453-5350
Mailing address
PO BOX 2415, ZANESVILLE, OH 43702-2415
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000766
—
OH
Enumeration date
04/11/2007
Last updated
08/22/2020
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