Healthcare Provider Details

I. General information

NPI: 1518173517
Provider Name (Legal Business Name): MUSKINGUM VALLEY EDUCATIONAL SERVICE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N 7TH ST
ZANESVILLE OH
43701-3791
US

IV. Provider business mailing address

205 N 7TH ST
ZANESVILLE OH
43701-3791
US

V. Phone/Fax

Practice location:
  • Phone: 740-452-4518
  • Fax: 740-455-6702
Mailing address:
  • Phone: 740-452-4518
  • Fax: 740-455-6702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DONNA ADORNETTO
Title or Position: DIRECTOR OF STUDENT SERVICES
Credential: PH.D.
Phone: 740-452-4518