NPI: 1033875828 · MAITLAND, FL 32751 · Assisted Living Facility · NPI assigned 11/16/2021
| Authorized Official | DECKER, KAREN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/16/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 62 | $63K |
| 2023 | 84 | $81K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 146 | 111 | $144K |