NPI: 1407443849 · LAKE FOREST, CA 92630 · Assisted Living Facility · NPI assigned 12/30/2020
| Authorized Official | AVENDANO, DARYLL (CEO) |
| NPI Enumeration Date | 12/30/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 28 | $102K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 28 | 28 | $102K |