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Organization

COOK COUNTY COUNCIL ON AGING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY GREEN (DIRECTOR)
(218) 387-2660
Entity
Organization

Contact information

Practice address
10 N BROADWAY AVE, GRAND MARAIS, MN 55604-5015
(218) 387-2660
(218) 387-2317
Mailing address
PO BOX 67, GRAND MARAIS, MN 55604-0067
(218) 387-2660
(218) 387-2317

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
03/25/2010
Last updated
03/25/2010
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