NPI: 1427401546 · LEBANON, TN 37087 · Assisted Living Facility · NPI assigned 07/14/2016
| Authorized Official | CARTER, KRISTI (ADMINISTRATOR) |
| NPI Enumeration Date | 07/14/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $14K |
| 2022 | 16 | $18K |
| 2024 | 48 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 79 | 73 | $102K |