NPI: 1174054209 · PAGOSA SPRINGS, CO 81147 · Home Modifications Contractor · NPI assigned 03/21/2017
| Authorized Official | RUSSO, CHARLES (MEMBER MANAGER) |
| NPI Enumeration Date | 03/21/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 44 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5165 | Home modifications; per service | 44 | 29 | $113K |