NPI: 1174161178 · ALLEN PARK, MI 48101 · Preferred Provider Organization · NPI assigned 12/20/2019
| Authorized Official | PHIPPS, DANIEL (MANAGER) |
| NPI Enumeration Date | 12/20/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 27 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5165 | Home modifications; per service | 27 | 26 | $96K |