Organization
MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Active
Other names
Masonic Village at Elizabethtown
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA FORMICA (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
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
261960
PA
Other
Enumeration date
11/05/2012
Last updated
05/01/2023
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