NPI: 1386375103 · LAKE CITY, SC 29560 · Home Health Agency · NPI assigned 06/22/2022
| Authorized Official | COOPER, OLA (DIRECTOR) |
| NPI Enumeration Date | 06/22/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 24 | $193.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T5999 | Supply, not otherwise specified | 24 | 24 | $193.68 |