Ggnsc Sunbury LP

Organization Active NPI Skilled Nursing Facility · Sunbury, PA

NPI 1194776427 · NPPES record last updated Jul 16, 2014

Key facts

NPI
1194776427
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
130502 (PA)
Legal business name
GGNSC SUNBURY LP
Practice address
1040 Market St
Sunbury, PA 17801-2403
Phone
(570) 286-6922
Fax
(570) 286-6817
NPI assigned
May 12, 2006
Organization subpart
No

Authorized official

Name
Holly A. Rasmussen-Jones
Title
Sec. of the GP
Phone
(479) 201-4835

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 130502 PA Yes

Addresses

Primary practice location

1040 Market St
Sunbury, PA 17801-2403

Mailing address

1040 Market St
Sunbury, PA 17801-2403
Phone (570) 286-6922

Other identifiers

IdentifierTypeStateIssuer
30966OtherPAGEISINGER HEALTH PLAN
000000131601OtherPATHREE RIVERS HEALTH PLAN
101558533MedicaidPA
1015585330001MedicaidPA
1509803OtherPAGATEWAY HEALTH PLAN
395482OtherPACAPITAL BLUE CROSS
84253OtherPAHEALTH AMERICA

Other names

  • Golden LivingCenter - Mansion Doing business as

Other providers in Sunbury, PA

All providers in Sunbury, PA · Skilled Nursing Facility in Pennsylvania

Sources for this page

Verify at the official NPI Registry.