# GGNSC WILKES-BARRE EAST MOUNTAIN LP

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

## Provider details

- **NPI number:** 1902857360
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 101 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7911
- **Practice address phone:** (570) 825-5894
- **Practice address fax:** (570) 822-2175
- **Mailing address:** 101 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7911
- **Mailing address phone:** (570) 825-5894
- **Mailing address fax:** (570) 822-2175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 026502 | PA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000113402 | THREE RIVERS HEALTH PLAN | PA |
| 01 | — | 0229 | BLUE CROSS NORTHEAST PA | PA |
| 05 | — | 101549131 | — | PA |
| 05 | — | 1015491310001 | — | PA |
| 01 | — | 1526892 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 30935 | GEISINGER HEALTH PLAN | PA |
| 01 | — | 85623 | HEALTH AMERICA | PA |