NPI: 1104061662 · JACKSONVILLE, IL 62650 · Case Management Agency · NPI assigned 12/11/2008
| Authorized Official | GOSNELL, MARI (PRESIDENT/CEO) |
| NPI Enumeration Date | 12/11/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 202 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 202 | 15 | $14K |