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Organization
GGNSC MT. LEBANON LP
Active
Organization
GGNSC MT. LEBANON LP
Active
Other names
Golden LivingCenter - Mt. Lebanon
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
350 OLD GILKESON RD, MOUNT LEBANON, PA 15228-1063
(412) 257-4444
(412) 257-8226
Mailing address
350 OLD GILKESON RD, MOUNT LEBANON, PA 15228-1063
(412) 257-4444
(412) 257-8226
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
137202-PI
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079447
THREE RIVERS HEALTH PLAN
PA
01
—
0688
HIGHMARK WESTERN PA
PA
01
—
100274
HEALTH AMERICA
PA
05
—
101549955
—
PA
05
—
1015499550001
—
PA
01
—
1506777
GATEWAY HEALTH PLAN
PA
01
—
302053
UPMC
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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