Organization
GGNSC WARREN KINZUA VALLEY LP
Active
Other names
Golden LivingCenter - Kinzua
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
205 WATER ST, WARREN, PA 16365-2307
(814) 726-0820
(814) 726-9717
Mailing address
205 WATER ST, WARREN, PA 16365-2307
(814) 726-0820
(814) 726-9717
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
071402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092721
THREE RIVERS HEALTH PLAN
PA
05
—
00833349
—
NY
05
—
101549599
—
PA
05
—
1015495990001
—
PA
01
—
126207
HEALTH AMERICA
PA
01
—
1523922
GATEWAY HEALTH PLAN
PA
01
—
410362
UPMC
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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