Organization
GGNSC PHOENIXVILLE II LP
Active
Other names
Golden LivingCenter - Phoenixville
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
833 MAIN ST, PHOENIXVILLE, PA 19460-4420
(610) 933-5867
(610) 935-8328
Mailing address
833 MAIN ST, PHOENIXVILLE, PA 19460-4420
(610) 933-5867
(610) 935-8328
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
160702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005375000
INDEPENDENCE BLUE CROSS
PA
05
—
101554730
—
PA
05
—
1015547300001
—
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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