NPI: 1073216438 · WASILLA, AK 99654 · Assisted Living Facility · NPI assigned 03/24/2023
| Authorized Official | DETTY, CORY (MEMBER) |
| NPI Enumeration Date | 03/24/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 254 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 254 | 12 | $47K |