NPI: 1174677538 · RANDOLPH, NJ 07869 · Assisted Living Facility · NPI assigned 01/23/2007
| Authorized Official | RYAN, JOANN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/23/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 96 | $138K |
| 2020 | 12 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 108 | 98 | $160K |