NPI: 1407416696 · MAULDIN, SC 29662 · Nursing Care Agency · NPI assigned 06/19/2019
| Authorized Official | YATES, JAMRLO (PRESIDENT) |
| NPI Enumeration Date | 06/19/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 49 | $239.61 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T5999 | Supply, not otherwise specified | 49 | 48 | $239.61 |