MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA
Assisted Living Facility
Lafayette Hill, Pennsylvania
Provider NPI: 1760474472
Organization Information:Organization Name: MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA
Practice Location:
801 RIDGE PIKE LAFAYETTE HILL, PA 19444 US
Tel: 610-825-6100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
801 RIDGE PIKE LAFAYETTE HILL, PA 19444 US
Tel: 610-825-6100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | 144400-DPW |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | PA | 137102-DOH |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
10000027230032 | PA | 05 | |
KEYSTONE HEALTH PLAN-IBC | 0001722000 | PA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin