NPI: 1184936841 · DETROIT, MI 48203 · Case Management Agency · NPI assigned 07/10/2010
| Authorized Official | JONES, DEBRA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/10/2010 |
Other providers sharing the same authorized official: JONES, DEBRA
| Provider | City | State | Total Paid |
|---|---|---|---|
| SHAMROCK SOLUTIONS INC. | CLARION | PA | $1.72M |
| SURFACE CREEK FAMILY PRACTICE, PC | DELTA | CO | $619K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 54 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99402 | 54 | 28 | $5K |