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
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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