All Medicaid billing entities listing PETTIT, TIFFANY (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $34K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | COEUR D ALENE HOMES PHASE II | COEUR D ALENE, ID | Assisted Living Facility | $34K |