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Organization
GGNSC LEWISTOWN LP
Active
Organization
GGNSC LEWISTOWN LP
Active
Other names
Golden LivingCenter - William Penn
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
163 SUMMIT DR, LEWISTOWN, PA 17044-1245
(717) 248-3941
(717) 242-2280
Mailing address
163 SUMMIT DR, LEWISTOWN, PA 17044-1245
(717) 248-3941
(717) 242-2280
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
750602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098244
THREE RIVERS HEALTH PLAN
PA
05
—
101551882
—
PA
05
—
1015518820001
—
PA
01
—
1526899
GATEWAY HEALTH PLAN
PA
01
—
30970
GEISINGER HEALTH PLAN
PA
01
—
395335
CAPITAL BLUE CROSS
PA
01
—
90745
HEALTH AMERICA
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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