NPI: 1336162775 · VACAVILLE, CA 95688 · Skilled Nursing Facility · NPI assigned 07/26/2006
| Authorized Official | EDMONDS, AARON (VICE PRESIDENT) |
| NPI Enumeration Date | 07/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $3K |
| 2020 | 14 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99304 | 26 | 26 | $6K |