NPI: 1245225150 · STILLWATER, MN 55082 · Community Based Hospice Care Agency · NPI assigned 09/16/2005
| Authorized Official | WAGNER, GERARDETTE (DIRECTOR) |
| NPI Enumeration Date | 09/16/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 43 | $143K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q5003 | Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) | 43 | 36 | $143K |