Organization
GGNSC HARRISBURG LP
Active
Other names
Golden LivingCenter - Blue Ridge Mountain
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
3625 N PROGRESS AVE, HARRISBURG, PA 17110-9690
(717) 652-2345
(717) 652-8325
Mailing address
3625 N PROGRESS AVE, HARRISBURG, PA 17110-9690
(717) 652-2345
(717) 652-8325
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
022002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119183
THREE RIVERS HEALTH PLAN
PA
05
—
101552914
—
PA
05
—
1015529140001
—
PA
01
—
1523454
GATEWAY HEALTH PLAN
PA
01
—
169934
HEALTH AMERICA
PA
01
—
2141
HIGHMARK CENTRAL FREEDOM
PA
01
—
395142
CAPITAL BLUE CROSS
PA
01
—
53101
GEISINGER HEALTH PLAN
PA
Enumeration date
05/11/2006
Last updated
07/16/2014
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