Provider Demographics
NPI:1942424866
Name:COOPERATIVE EDUCATIONAL SERVICES
Entity Type:Organization
Organization Name:COOPERATIVE EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UNIT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MACKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-365-8835
Mailing Address - Street 1:40 LINDEMAN DR
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4749
Mailing Address - Country:US
Mailing Address - Phone:203-365-8844
Mailing Address - Fax:203-365-8955
Practice Address - Street 1:40 LINDEMAN DR
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4749
Practice Address - Country:US
Practice Address - Phone:203-365-8844
Practice Address - Fax:203-365-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)