Organization
GGNSC WILKES-BARRE EAST MOUNTAIN LP
Active
Other names
Golden LivingCenter - East Mountain
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
101 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7911
(570) 825-5894
(570) 822-2175
Mailing address
101 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7911
(570) 825-5894
(570) 822-2175
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
026502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000113402
THREE RIVERS HEALTH PLAN
PA
01
—
0229
BLUE CROSS NORTHEAST PA
PA
05
—
101549131
—
PA
05
—
1015491310001
—
PA
01
—
1526892
GATEWAY HEALTH PLAN
PA
01
—
30935
GEISINGER HEALTH PLAN
PA
01
—
85623
HEALTH AMERICA
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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