Organization
GGNSC SCRANTON LP
Active
Other names
Golden LivingCenter - Scranton
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
824 ADAMS AVE, SCRANTON, PA 18510-1002
(570) 346-5704
(570) 347-5057
Mailing address
824 ADAMS AVE, SCRANTON, PA 18510-1002
(570) 346-5704
(570) 347-5057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
010102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111867
THREE RIVERS HEALTH PLAN
PA
01
—
0263
BLUE CROSS NORTHEAST PA
PA
05
—
101551541
—
PA
05
—
1015515410001
—
PA
01
—
1526897
GATEWAY HEALTH PLAN
PA
01
—
30986
GEISINGER HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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