Organization
GGNSC WAYNESBURG LP
Active
Other names
Golden LivingCenter - Waynesburg
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
300 CENTER AVE, WAYNESBURG, PA 15370-8243
(724) 852-2020
(724) 852-1488
Mailing address
300 CENTER AVE, WAYNESBURG, PA 15370-8243
(724) 852-2020
(724) 852-1488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
074602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070701
THREE RIVERS HEALTH PLAN
PA
01
—
0597
HIGHMARK WESTERN PA
PA
05
—
101551800
—
PA
05
—
1015518000001
—
PA
01
—
118300
HEALTH AMERICA
PA
01
—
1511419
GATEWAY HEALTH PLAN
PA
01
—
216286
UPMC
PA
01
—
395247
CAPITAL BLUE CROSS
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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