NPI: 1235162405 · BRISTOL, TN 37620 · Skilled Nursing Facility · NPI assigned 07/09/2006
| Authorized Official | MITTLEIDER, DOUGLAS (PRESIDENT) |
| NPI Enumeration Date | 07/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 279 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5170 | Home delivered meals, including preparation; per meal | 279 | 13 | $2K |