Organization · Type 2 NPI

The Lodge at 14th St.

Assisted Living Facility · Phoenix, AZ

NPI number 1083698328 Active

Practice location

2941 N 14th St
Phoenix, AZ 85014-5604

Call (602) 279-1033 Map

Fax (602) 277-5604

Mailing address

2941 N. 14th St.
Phoenix, AZ 85014-5604

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XALC 4746 (AZ)
Religious Nonmedical Health Care Institution 282J00000XALC-4746 (AZ)
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1083698328

The Lodge at 14th St.'s National Provider Identifier is 1083698328, issued on Nov 30, 2005. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 23, 2024.