NPI 1114129467

Cobra Company of Arizona, INC.

Organisation Case Management Agency Glendale, AZ

Practice location

Address: 17224 N 43rd Ave 109, Glendale, AZ 85308-4025
Phone: (602) 978-6010
Fax: (602) 938-1209
Mailing address: PO Box 11779, Glendale, AZ 85318-1779

Authorised official

Name: James Eldon Lawson
Title: Vice President
Phone: (602) 978-6010

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 1002718 (AZ)

Other Case Management providers in Arizona →

Registry record

NPI: 1114129467
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.