Healthcare Provider Details
I. General information
NPI: 1992912679
Provider Name (Legal Business Name): MUSKINGUM ECONOMIC OPPORTUNITY ACTION GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2007
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
828 LEE ST
ZANESVILLE OH
43701-3375
US
IV. Provider business mailing address
828 LEE ST
ZANESVILLE OH
43701-3375
US
V. Phone/Fax
- Phone: 740-453-5703
- Fax: 740-454-3717
- Phone: 740-453-5703
- Fax: 740-454-3717
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
NANCY
PIERCE
Title or Position: CEO
Credential:
Phone: 740-453-5703