The Lodge At 14th St. is a Religious Nonmedical Health Care Institution based in Phoenix, AZ. The Lodge At 14th St. practices in Phoenix, AZ. The NPI Number for The Lodge At 14th St. is 1083698328 and holds a License No. ALC 4746 (Arizona).
The current practice location address for The Lodge At 14th St. is 2941 N 14Th St, Phoenix, AZ and can be reached out via phone at 602-279-1033 and via fax at 602-277-5604.
Identifier | Type | State | Issuer |
---|---|---|---|
629256 | 05 | AZ | |
629-256 | 05 | AZ |
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