NPI: 1033876081 · HEMET, CA 92544 · Assisted Living Facility · NPI assigned 11/24/2021
| Authorized Official | LANGENDOEN, TRACY (CO-OWNER, CO-MANAGER) |
| NPI Enumeration Date | 11/24/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 30 | $117K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 30 | 30 | $117K |