NPI: 1134885056 · CANTON, TX 75103 · Assisted Living Facility · NPI assigned 11/15/2021
| Authorized Official | PURDY, TAMMY (ADMINISTRATOR) |
| NPI Enumeration Date | 11/15/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 29 | $35K |
| 2024 | 93 | $133K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 122 | 115 | $168K |