NPI: 1295160463 · SOUTHAVEN, MS 38671 · In Home Supportive Care Agency · NPI assigned 09/06/2013
| Authorized Official | EDMUNDS, NGOZI (ADMINISTRATOR) |
| NPI Enumeration Date | 09/06/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 308 | $134K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5100 | Day care services, adult; per 15 minutes | 308 | 154 | $134K |