NPI: 1013380534 · BRISTOL, TN 37620 · Skilled Nursing Facility · NPI assigned 11/05/2015
| Authorized Official | MITTLEIDER, DOUG (PRESIDENT OF MANAGING MEMBER) |
| NPI Enumeration Date | 11/05/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 521 | $4K |
| 2019 | 327 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5170 | Home delivered meals, including preparation; per meal | 848 | 40 | $5K |