NPI: 1053808055 · OREM, UT 84097 · Assisted Living Facility · NPI assigned 04/16/2018
| Authorized Official | ALLEN, DENNIS ALLEN (MANAGER) |
| NPI Enumeration Date | 04/16/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 37 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 37 | 12 | $18K |