| NPI | 1730433343 |
|---|---|
| Doing Business As | MASONIC VILLAGE AT ELIZABETHTOWN |
| Entity Type | Organization |
| Authorized Contact | PAMELA FORMICA Chief Financial Officer 717-367-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: PA 261960) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2023-05-01 |