NPI: 1063680346 · ARLINGTON, MN 55307 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 02/20/2008
| Authorized Official | HENNIES, DAVID (PRESIDENT OF BOARD) |
| NPI Enumeration Date | 02/20/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,657 | $87K |
| 2021 | 12 | $587.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 1,669 | 109 | $87K |