# GGNSC WILKES-BARRE II LP

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

## Provider details

- **NPI number:** 1154372522
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 50 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3503
- **Practice address phone:** (570) 825-3488
- **Practice address fax:** (570) 825-9423
- **Mailing address:** 50 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3503
- **Mailing address phone:** (570) 825-3488
- **Mailing address fax:** (570) 825-9423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 971402 | PA | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 07/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000130630 | THREE RIVERS HEALTH PLAN | PA |
| 05 | — | 101558613 | — | PA |
| 05 | — | 1015586130001 | — | PA |
| 01 | — | 1526893 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 30946 | GEISINGER HEALTH PLAN | PA |