NPI: 1447870266 · SAINT PETERSBURG, FL 33714 · Assisted Living Facility · NPI assigned 04/22/2020
| Authorized Official | BOSTIC, SHALONDRIA (ADMINISTRATOR) |
| NPI Enumeration Date | 04/22/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $13K |
| 2023 | 15 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 29 | 28 | $31K |