NPI: 1063276400 · WEST HAVEN, UT 84401 · Assisted Living Facility · NPI assigned 02/07/2024
| Authorized Official | SNOWBALL, KELLY (MANAGEMENT/OPERATIONS) |
| NPI Enumeration Date | 02/07/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 64 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 64 | 22 | $38K |