EVERGREEN NURSING HOME, LLC
NPI: 1285693762
· EVERGREEN, AL 36401
· Nursing Facility/Intermediate Care Facility
· NPI assigned 03/22/2006
$152.64
Total Medicaid Paid
Provider Details
| Authorized Official | DUNNAM, NOEL (CFO) |
| NPI Enumeration Date | 03/22/2006 |
Related Entities
Other providers sharing the same authorized official: DUNNAM, NOEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
93 |
$152.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
93 |
13 |
$152.64 |