# THE GRAND LODGE OF ANCIENT FREE AND ACCEPTED MASONS OF MARYLAND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryland Masonic Homes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033264973
- **Authorized official:** MRS. PAULA LEE O NEILL NURSING HOME ADMIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (410) 527-1111

## Contact information

- **Practice address:** 300 INTERNATIONAL CIR, COCKEYSVILLE, MD 21030-1300
- **Practice address phone:** (410) 527-1111
- **Practice address fax:** (410) 527-1379
- **Mailing address:** 300 INTERNATIONAL CIR, COCKEYSVILLE, MD 21030-1300
- **Mailing address phone:** (410) 527-1111
- **Mailing address fax:** (410) 527-1379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 03023 | MD | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 06/20/2014