Masonic Village At Elizabethtown | |
581 Freemason Dr Elizabethtown PA 17022-3187 | |
(717) 367-1121 | |
(717) 367-5813 |
Full Name | Masonic Village At Elizabethtown |
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Speciality | Skilled Nursing Facility |
Location | 581 Freemason Dr, Elizabethtown, Pennsylvania |
Authorized Official Name and Position | Pamela Formica (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7173671121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Masonic Village At Elizabethtown 1 Masonic Dr Elizabethtown PA 17022-2199 Ph: (717) 367-1121 | Masonic Village At Elizabethtown 581 Freemason Dr Elizabethtown PA 17022-3187 Ph: (717) 367-1121 |
NPI Number | 1720332653 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 05/01/2023 |
Certification Date | 05/01/2023 |
Medicare PECOS PAC ID | 9537136916 |
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Medicare Enrollment ID | O20130122000443 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720332653 | NPI | - | NPPES |
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