All Medicaid billing entities listing JACKSON, SHANDALEE (CREDENTIALING MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arizona | 1 | $2.66M |
| Washington | 1 | $1.10M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ROYAL AZ LLC | PRESCOTT, AZ | Substance Use Disorder Rehabilitation Clinic/Center | $2.66M |
| 2 | ROYAL WA LACEY LLC | LACEY, WA | Substance Use Disorder Rehabilitation Clinic/Center | $1.10M |