NPI: 1477603652 · WEST HAVEN, UT 84401 · Assisted Living Facility · NPI assigned 01/11/2007
| Authorized Official | PURVANCE, JONATHAN (MANAGING MEMBER) |
| NPI Enumeration Date | 01/11/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 590 | $341K |
| 2024 | 910 | $497K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 1,500 | 378 | $838K |