NPI: 1104177567 · ITTA BENA, MS 38941 · Adult Day Care Clinic/Center · NPI assigned 09/26/2012
| Authorized Official | CARNAGE, AUGUSTA (OWNER) |
| NPI Enumeration Date | 09/26/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 170 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5100 | Day care services, adult; per 15 minutes | 170 | 12 | $6K |