NPI: 1477053890 · WRAY, CO 80758 · Assisted Living Facility · NPI assigned 02/13/2018
| Authorized Official | SULLIVAN, JENNIE (CEO) |
| NPI Enumeration Date | 02/13/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 112 | $192K |
| 2023 | 96 | $215K |
| 2024 | 134 | $222K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 342 | 268 | $629K |