NPI: 1386823599 · ST PETERSBURG, FL 33701 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 10/24/2007
| Authorized Official | MCKENZIE, FLOYD (ADMINISTRATOR) |
| NPI Enumeration Date | 10/24/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 24 | $30K |
| 2022 | 12 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 36 | 36 | $46K |