The Grand Lodge of Ancient Free and Accepted Masons of Maryland
NPI #1033264973 in Cockeysville, Maryland
Provider Information
- NPI Number
- 1033264973
- Entity Type
- Organization
- Organization Name
- The Grand Lodge of Ancient Free and Accepted Masons of Maryland
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Jun 20, 2014
Practice Location
- Address
- 300 INTERNATIONAL CIR
- City
- Cockeysville
- State
- Maryland
- ZIP Code
- 21030-1300
- Phone
- (410) 527-1111
Authorized Official
- Name
- MRS. PAULA LEE O NEILL, NURSING HOME ADMIN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (410) 527-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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