NPI: 1386971877 · SNOWFLAKE, AZ 85937 · Adult Care Home Facility · NPI assigned 11/04/2009
| Authorized Official | MATYAS, LARRY (OWNER) |
| NPI Enumeration Date | 11/04/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 57 | $59K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 57 | 51 | $59K |