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Organization
GGNSC JOHNSTOWN LP
Active
Organization
GGNSC JOHNSTOWN LP
Active
Other names
Golden LivingCenter - Richland
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
349 VO TECH DR, JOHNSTOWN, PA 15904-2926
(814) 266-9702
(814) 266-6950
Mailing address
349 VO TECH DR, JOHNSTOWN, PA 15904-2926
(814) 266-9702
(814) 266-6950
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
440702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092691
THREE RIVERS HEALTH PLAN
PA
01
—
000090
UPMC
PA
01
—
0468
HIGHMARK WESTERN PA
PA
05
—
101551514
—
PA
05
—
1015515140001
—
PA
01
—
1503895
GATEWAY HEALTH PLAN
PA
01
—
60047
GEISINGER HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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