NPI: 1437801081 · DIAMOND BAR, CA 91765 · Assisted Living Facility · NPI assigned 01/25/2022
| Authorized Official | LEE, JACKLYN (OWNER) |
| NPI Enumeration Date | 01/25/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 43 | $110K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 43 | 24 | $110K |