NPI: 1285751370 · LAKE ALFRED, FL 33850 · Assisted Living Facility · NPI assigned 03/23/2007
| Authorized Official | EARP, DEBRA (CONTROLLER) |
| NPI Enumeration Date | 03/23/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 39 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 39 | 39 | $43K |