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Organization
GGNSC ERIE II LP
Active
Organization
GGNSC ERIE II LP
Active
Other names
Golden LivingCenter - Erie
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
2686 PEACH ST, ERIE, PA 16508-1851
(814) 453-6641
(814) 453-5546
Mailing address
2686 PEACH ST, ERIE, PA 16508-1851
(814) 453-6641
(814) 453-5546
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085257
THREE RIVERS HEALTH PLAN
PA
01
—
000084
UPMC
PA
05
—
00895212
—
NY
01
—
0671
HIGHMARK WESTERN PA
PA
01
—
1008144500093
ION HEALTH
PA
05
—
1015495340001
—
PA
01
—
126211
HEALTH AMERICA
PA
01
—
1504366
GATEWAY HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
08/22/2020
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