Organization
GGNSC CANONSBURG LP
Active
Other names
Golden LivingCenter - South Hills
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
201 VILLAGE DR, CANONSBURG, PA 15317-2368
(724) 746-1300
(724) 746-0522
Mailing address
201 VILLAGE DR, CANONSBURG, PA 15317-2368
(724) 746-1300
(724) 746-0522
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
193302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000102951
THREE RIVERS HEALTH PLAN
PA
01
—
0553
HIGHMARK WESTERN PA
PA
05
—
101548958
—
PA
05
—
1015489580001
—
PA
01
—
1515034
GATEWAY HEALTH PLAN
PA
01
—
218342
UPMC
PA
01
—
523556
US HEALTH
PA
01
—
93569
HEALTH AMERICA
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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