NPI: 1275654030 · MOUNT VERNON, TX 75457 · Assisted Living Facility · NPI assigned 04/02/2007
| Authorized Official | ADAMS, ANN (ADMININSTRATOR) |
| NPI Enumeration Date | 04/02/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 410 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 410 | 26 | $30K |