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Organization
GGNSC MEADVILLE LP
Active
Organization
GGNSC MEADVILLE LP
Active
Other names
Golden LivingCenter - Meadville
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
(479) 201-4835
Entity
Organization
Contact information
Practice address
14714 PARK AVENUE EXT, MEADVILLE, PA 16335-9400
(814) 337-4228
(814) 333-9331
Mailing address
14714 PARK AVENUE EXT, MEADVILLE, PA 16335-9400
(814) 337-4228
(814) 333-9331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098905
THREE RIVERS HEALTH PLAN
PA
01
—
0492
HIGHMARK WESTERN PA
PA
05
—
1015497400001
—
PA
01
—
126212
HEALTH AMERICA
PA
01
—
1523926
GATEWAY HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
08/22/2020
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