Organization
GGNSC WARREN II LP
Active
Other names
Golden LivingCenter - Central
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
121 CENTRAL AVE, WARREN, PA 16365-2910
(814) 726-1420
(814) 726-9054
Mailing address
121 CENTRAL AVE, WARREN, PA 16365-2910
(814) 726-1420
(814) 726-9054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00895212
—
NY
01
—
0833
HIGHMARK WESTERN PA
PA
05
—
1015584350001
—
PA
01
—
1523924
GATEWAY HEALTH PLAN
PA
01
—
238587
HEALTH AMERICA
PA
01
—
315392
UPMC
PA
01
—
92711
THREE RIVERS HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
08/22/2020
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