NPI: 1063758126 · HAMILTON, MT 59840 · Assisted Living Facility · NPI assigned 12/18/2012
| Authorized Official | CRIDDLE, LISA (ADMINISTRATOR) |
| NPI Enumeration Date | 12/18/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 63 | $186K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 63 | 60 | $186K |