NPI: 1346212024 · MARYVILLE, TN 37804 · Skilled Nursing Facility · NPI assigned 02/06/2006
| Authorized Official | BOWMAN, BERNIE (CEO) |
| NPI Enumeration Date | 02/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 71 | $70K |
| 2021 | 150 | $123K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 221 | 194 | $194K |