NPI: 1336412113 · FORESTVILLE, CA 95436 · Assisted Living Facility · NPI assigned 02/09/2012
| Authorized Official | SERKISSIAN, ALAIN (OWNER/ ADMINISTRATOR/ LICENCEE) |
| NPI Enumeration Date | 02/09/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 66 | $113K |
| 2021 | 70 | $121K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 136 | 72 | $234K |