NPI: 1326336892 · LOGAN, UT 84321 · Home Health Agency · NPI assigned 07/18/2011
| Authorized Official | WIDLMAN, DENNIS (ADMINISTRATOR) |
| Parent Organization | SUNSHINE TERRACE FOUNDATION, INC |
| NPI Enumeration Date | 07/18/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 26 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 26 | 25 | $104K |