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Organization
GGNSC EAST STROUDSBURG LP
Active
Organization
GGNSC EAST STROUDSBURG LP
Active
Other names
Golden LivingCenter - Stroud
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
221 E BROWN ST, EAST STROUDSBURG, PA 18301-3005
(570) 421-6200
(570) 421-6718
Mailing address
221 E BROWN ST, EAST STROUDSBURG, PA 18301-3005
(570) 421-6200
(570) 421-6718
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
194002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130686
THREE RIVERS HEALTH PLAN
PA
05
—
101551597
—
PA
05
—
1015515970001
—
PA
01
—
1526895
GATEWAY HEALTH PLAN
PA
01
—
30984
GEISINGER HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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