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Organization

THE GRAND LODGE OF ANCIENT FREE AND ACCEPTED MASONS OF MARYLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMIE SUE HOUCK LNHA (EXECUTIVE DIRECTOR)
(410) 527-1417
Entity
Organization

Contact information

Practice address
300 INTERNATIONAL CIR, COCKEYSVILLE, MD 21030-1300
(410) 527-1417
Mailing address
300 INTERNATIONAL CIR, COCKEYSVILLE, MD 21030-1300
(410) 527-1417

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
10/11/2019
Last updated
10/11/2019
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