| NPI | 1366818189 |
|---|---|
| Other Name | AZUL COSSART |
| Entity Type | Organization |
| Authorized Contact | AZUL EZZETTE COSSART Non Medical Caregiver 602-525-7691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: AZ D01594471) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-08-19 |