NPI: 1346864857 · POCATELLO, ID 83201 · Assisted Living Facility (Mental Illness) · NPI assigned 06/01/2020
| Authorized Official | MILES, JENNIFER (OWNER) |
| NPI Enumeration Date | 06/01/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 63 | $140K |
| 2024 | 150 | $347K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 213 | 169 | $487K |