Organization
GGNSC SUNBURY LP
Active
Other names
Golden LivingCenter - Mansion
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
1040 MARKET ST, SUNBURY, PA 17801-2403
(570) 286-6922
(570) 286-6817
Mailing address
1040 MARKET ST, SUNBURY, PA 17801-2403
(570) 286-6922
(570) 286-6817
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
130502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131601
THREE RIVERS HEALTH PLAN
PA
05
—
101558533
—
PA
05
—
1015585330001
—
PA
01
—
1509803
GATEWAY HEALTH PLAN
PA
01
—
30966
GEISINGER HEALTH PLAN
PA
01
—
395482
CAPITAL BLUE CROSS
PA
01
—
84253
HEALTH AMERICA
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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