NPI: 1326366709 · SPEARFISH, SD 57783 · Assisted Living Facility · NPI assigned 05/11/2010
| Authorized Official | BURR, AILEEN (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 05/11/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 95 | $90K |
| 2021 | 13 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 108 | 99 | $103K |