NPI: 1114515285 · SHERIDAN, MT 59749 · Assisted Living Facility · NPI assigned 01/05/2021
| Authorized Official | HANSEN, SAMMIE (HUMAN RESOURCES MANAGER) |
| NPI Enumeration Date | 01/05/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 28 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 28 | 13 | $40K |