Organization
ASHLAR HOME HEALTH AND HOSPICE SERVICES LLC
Active
Parent organization
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Other names
Masonic Village Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Authorized official
JUSTIN WOLGEMUTH (SENIOR VP OF OPERATIONS)
(717) 367-1121
Entity
Organization
Contact information
Practice address
98 MASONIC DR STE 101, ELIZABETHTOWN, PA 17022-2574
(717) 361-4999
(717) 361-5767
Mailing address
98 MASONIC DR STE 101, ELIZABETHTOWN, PA 17022-2574
(717) 361-4999
(717) 361-5767
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035869490003
—
PA
Enumeration date
02/17/2020
Last updated
07/24/2024
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