Organization
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Active
Other names
Masonic Village at Lafayette Hill
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA FORMICA (CHIEF FINANCIAL OFFICER)
(717) 367-1121
Entity
Organization
Contact information
Practice address
801 RIDGE PIKE, LAFAYETTE HILL, PA 19444-1744
(610) 825-6100
(610) 828-2803
Mailing address
581 FREEMASON DR, ELIZABETHTOWN, PA 17022-3187
(717) 367-1121
(717) 367-5813
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
137102
PA
Other
Enumeration date
10/30/2012
Last updated
05/01/2023
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