NPI: 1164640363 · JACKSBORO, TX 76458 · Assisted Living Facility · NPI assigned 04/23/2007
| Authorized Official | JEWELL, SAM (PRESIDENT) |
| NPI Enumeration Date | 04/23/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 114 | $65K |
| 2023 | 208 | $119K |
| 2024 | 26 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 348 | 164 | $197K |