NPI: 1457519449 · PROVO, UT 84604 · Assisted Living Facility · NPI assigned 05/28/2008
| Authorized Official | RICH, BRYCE (ADMINISTRATOR) |
| NPI Enumeration Date | 05/28/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 178 | $344K |
| 2019 | 151 | $292K |
| 2020 | 12 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 341 | 324 | $659K |