NPI: 1336418946 · JAY, FL 32565 · Assisted Living Facility · NPI assigned 12/28/2011
| Authorized Official | DURST, JOSHUA (FINANCIAL OFFICER) |
| NPI Enumeration Date | 12/28/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 13 | 13 | $17K |