# GGNSC WARREN KINZUA VALLEY LP

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

## Provider details

- **NPI number:** 1982655189
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 205 WATER ST, WARREN, PA 16365-2307
- **Practice address phone:** (814) 726-0820
- **Practice address fax:** (814) 726-9717
- **Mailing address:** 205 WATER ST, WARREN, PA 16365-2307
- **Mailing address phone:** (814) 726-0820
- **Mailing address fax:** (814) 726-9717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 071402 | PA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000092721 | THREE RIVERS HEALTH PLAN | PA |
| 05 | — | 00833349 | — | NY |
| 05 | — | 101549599 | — | PA |
| 05 | — | 1015495990001 | — | PA |
| 01 | — | 126207 | HEALTH AMERICA | PA |
| 01 | — | 1523922 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 410362 | UPMC | PA |