NPI: 1043057706 · WYNNE, AR 72396 · In Home Supportive Care Agency · NPI assigned 07/10/2024
| Authorized Official | PULLEY, BROOKE (OWNER) |
| NPI Enumeration Date | 07/10/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 101 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 101 | 24 | $7K |