Organization
LODGE AT SEDONA, LLC
Active
Organization
LODGE AT SEDONA, LLC
Active
Other names
Sedona Wellness Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FERCHOFF N.M.D. (DIRECTOR)
(928) 613-2233
Entity
Organization
Contact information
Practice address
125 KALLOF PL, LODGE AT SEDONA, SEDONA, AZ 86336-5566
(928) 204-1942
(928) 204-2128
Mailing address
125 KALLOF PL, LODGE AT SEDONA, SEDONA, AZ 86336-5566
(928) 204-1942
(928) 204-2128
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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