NPI: 1164064390 · FERN PARK, FL 32730 · Assisted Living Facility · NPI assigned 10/09/2019
| Authorized Official | VICK, CARRIE (PRESIDENT) |
| NPI Enumeration Date | 10/09/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 278 | $336K |
| 2024 | 247 | $398K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 525 | 465 | $734K |