| Organization Name: | COOK COUNTY COUNCIL ON AGING |
| NPI Number: | 1467776062 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEVERLY GREEN (DIRECTOR) |
| Mailing Address: | 10 N Broadway Ave Grand Marais |
| State: | MN US |
| Postal Code: | 556045015 |
| Phone Number: | 2183872660 |
| Fax Number: | 2183872317 |
| NPI Enumeration Date: | 03/25/2010 |
| NPI Last Update Date: | 03/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |