Organization
GGNSC TUNKHANNOCK LP
Active
Other names
Golden LivingCenter - Tunkhannock
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
30 VIRGINIA DR, TUNKHANNOCK, PA 18657-1701
(570) 836-5166
(570) 836-7756
Mailing address
30 VIRGINIA DR, TUNKHANNOCK, PA 18657-1701
(570) 836-5166
(570) 836-7756
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
551002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000132408
THREE RIVERS HEALTH PLAN
PA
05
—
101548690
—
PA
05
—
1015486900001
—
PA
01
—
1526889
GATEWAY HEALTH PLAN
PA
01
—
30965
GEISINGER HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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