NPI: 1386234763 · GLADYS, VA 24554 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/20/2021
| Authorized Official | FOLDESI, SHELLY (OWNER) |
| NPI Enumeration Date | 01/20/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 50 | $235K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 50 | 25 | $235K |