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Organization
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Active
Organization
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Active
Other names
Masonic Village Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J PRAZENICA (CHIEF FINANCIAL OFFICER)
(717) 367-1121
Entity
Organization
Contact information
Practice address
581 FREEMASON DR, ELIZABETHTOWN, PA 17022-3187
(717) 367-1121
(717) 367-5813
Mailing address
1 MASONIC DR, ELIZABETHTOWN, PA 17022-2199
(717) 367-1121
(717) 367-5813
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
NULL
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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