LIFE MANAGEMENT OF NW FL, INC.
NPI: 1316977515
· PORT ST JOE, FL 32456
· Community/Behavioral Health Agency
· NPI assigned 07/04/2006
$564.00
Total Medicaid Paid
Provider Details
| Authorized Official | AILES, EDWIN (CEO/PRESIDENT) |
| Parent Organization | LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC. |
| NPI Enumeration Date | 07/04/2006 |
Related Entities
Other providers sharing the same authorized official: AILES, EDWIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
21 |
$564.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
21 |
13 |
$564.00 |