NPI: 1164570461 · KIMBALL, SD 57355 · Assisted Living Facility · NPI assigned 01/05/2007
| Authorized Official | BANEK, VIRGINIA (OWNER) |
| NPI Enumeration Date | 01/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 74 | $107K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 74 | 72 | $107K |