NPI: 1407049562 · GLENWOOD, AR 71943 · Assisted Living Facility · NPI assigned 08/22/2007
| Authorized Official | ARCHER, WANDA (ADMINISTRATOR) |
| NPI Enumeration Date | 08/22/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 206 | $380K |
| 2019 | 28 | $44K |
| 2021 | 13 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 247 | 228 | $440K |