NPI: 1275696841 · MENDOTA HEIGHTS, MN 55118 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 12/18/2006
| Authorized Official | HART, PAULA (CEO) |
| NPI Enumeration Date | 12/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 264 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 264 | 12 | $1K |