Masonic Villages of the Grand Lodge of Pennsylvania
Masonic Villages of the Grand Lodge of Pennsylvania is a Developmentally Disabled Services Day Training Agency in Elizabethtown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.
- Licensed in
- PA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
581 Freemason DrElizabethtown, PA 17022-3187
Phone: (717) 367-1121
Fax: (717) 367-5813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|---|
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X · Licence 261960 (PA) |
Record details
| NPI number | 1730433343 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Formica — Chief Financial Officer · (717) 367-1121 |
| Other names | Masonic Village At Elizabethtown; Masonic Village At Elizabethtown |
| NPI enumerated | November 5, 2012 |
| Last updated in NPPES | May 1, 2023 |
| Certification date | May 1, 2023 |
| Mailing address | 1 Masonic Dr, Elizabethtown, PA 17022-2199 |