NPI: 1316302367 · MEMPHIS, TN 38115 · Assisted Living Facility · NPI assigned 12/17/2015
| Authorized Official | SANDERS, DAMON (ADMINISTRATOR) |
| NPI Enumeration Date | 12/17/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 195 | $145K |
| 2019 | 195 | $149K |
| 2020 | 56 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 446 | 342 | $328K |