NPI: 1003431461 · LAFAYETTE, IN 47905 · Assisted Living Facility · NPI assigned 06/11/2020
| Authorized Official | VAN CAMP, STEVE (CFO OF ASC) |
| NPI Enumeration Date | 06/11/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 19 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 19 | 19 | $0.00 |