NPI: 1013432723 · BRANDON, FL 33511 · Assisted Living Facility · NPI assigned 08/03/2017
| Authorized Official | CARRENO, MILAGROS (ADMINISTRATOR) |
| NPI Enumeration Date | 08/03/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 13 | 13 | $20K |