NPI: 1407280720 · ELK RIVER, MN 55330 · Adult Care Home Facility · NPI assigned 08/22/2013
| Authorized Official | PETERSEN, GREGORY (PARTNER) |
| NPI Enumeration Date | 08/22/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,166 | $683K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 2,166 | 72 | $683K |