| Masonic Villages Of The Grand Lodge Of Pennsylvania | |
|
581 Freemason Dr Elizabethtown PA 17022-3187 | |
| (717) 367-1121 | |
| (717) 367-5813 |
| Full Name | Masonic Villages Of The Grand Lodge Of Pennsylvania |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 581 Freemason Dr, Elizabethtown, Pennsylvania |
| Authorized Official Name and Position | Pamela Formica (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7173671121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Masonic Villages Of The Grand Lodge Of Pennsylvania 1 Masonic Dr Elizabethtown PA 17022-2199 Ph: (717) 367-1121 | Masonic Villages Of The Grand Lodge Of Pennsylvania 581 Freemason Dr Elizabethtown PA 17022-3187 Ph: (717) 367-1121 |
| NPI Number | 1720332653 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Medicare PECOS PAC ID | 9537136916 |
|---|---|
| Medicare Enrollment ID | O20130122000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720332653 | NPI | - | NPPES |
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