NPI: 1013072230 · WINDOM, MN 56101 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 12/27/2006
| Authorized Official | NELSON, DEVIN (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 12/27/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 5,015 | $151K |
| 2021 | 1,071 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 6,086 | 228 | $195K |