NPI: 1033577978 · PORT ST LUCIE, FL 34987 · Assisted Living Facility · NPI assigned 02/07/2016
| Authorized Official | DORVAL, CHRISTELLA (ADMINISTRATOR) |
| NPI Enumeration Date | 02/07/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 27 | $42K |
| 2024 | 12 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 39 | 39 | $61K |