All Medicaid billing entities listing BASALLO, THERESA (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Nevada | 1 | $59K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MAR VON SENIOR CARE | RENO, NV | Adult Care Home Facility | $59K |