NPI: 1407023054 · PORT ST LUCIE, FL 34952 · Assisted Living Facility · NPI assigned 05/13/2008
| Authorized Official | BASS, TINA (ADMINISTRATOR) |
| NPI Enumeration Date | 05/13/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 90 | $0.00 |
| 2019 | 1,710 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 1,800 | 278 | $0.00 |