| Organization Name: | CHEBOYGAN COUNTY COUNCIL ON AGING |
| NPI Number: | 1386848653 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL P BUR (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1531 Sand Rd Cheboygan |
| State: | MI US |
| Postal Code: | 497219167 |
| Phone Number: | 2316277234 |
| Fax Number: | 2316274048 |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |