NPI: 1124178645 · SAN RAFAEL, CA 94903 · Skilled Nursing Facility · NPI assigned 01/10/2007
| Authorized Official | EGAN, TIMOTHY (ADMINISTRATOR) |
| NPI Enumeration Date | 01/10/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $4K |
| 2019 | 45 | $6K |
| 2020 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99304 | 82 | 81 | $12K |