NPI: 1396174728 · ST PETERSBURG, FL 33707 · Assisted Living Facility · NPI assigned 11/06/2013
| Authorized Official | GINGERY, JAN (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 11/06/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 210 | $222K |
| 2020 | 63 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 273 | 267 | $281K |