NPI: 1356465447 · SAN AUGUSTINE, TX 75972 · Assisted Living Facility · NPI assigned 03/16/2007
| Authorized Official | RUSSELL, SANDY (BOOKKEEPER) |
| NPI Enumeration Date | 03/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 180 | $65K |
| 2021 | 161 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 341 | 126 | $131K |