# GGNSC MEADVILLE LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden LivingCenter - Meadville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073564274
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 14714 PARK AVENUE EXT, MEADVILLE, PA 16335-9400
- **Practice address phone:** (814) 337-4228
- **Practice address fax:** (814) 333-9331
- **Mailing address:** 14714 PARK AVENUE EXT, MEADVILLE, PA 16335-9400
- **Mailing address phone:** (814) 337-4228
- **Mailing address fax:** (814) 333-9331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 131702 | PA | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 08/22/2020

## 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 |