All Medicaid billing entities listing BODEN, EVANGELINE (BUSINESS MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Utah | 1 | $0.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | COUNTRY MEADOW SNF LC | OGDEN, UT | Skilled Nursing Facility | $0.00 |