Provider Demographics
NPI:1366574279
Name:LIFE CHOICES WOMENS CLINIC
Entity type:Organization
Organization Name:LIFE CHOICES WOMENS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:RIELY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:602-305-5100
Mailing Address - Street 1:9303 N 7TH STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020
Mailing Address - Country:US
Mailing Address - Phone:602-305-5100
Mailing Address - Fax:602-870-3586
Practice Address - Street 1:9303 N 7TH STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020
Practice Address - Country:US
Practice Address - Phone:602-305-5100
Practice Address - Fax:602-870-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable