NPI: 1265975080 · ROYALTON, MN 56373 · Point of Service · NPI assigned 11/28/2016
| Authorized Official | GOTTWALT, CYNTHIA (CEO) |
| NPI Enumeration Date | 11/28/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 356 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 356 | 13 | $93K |