NPI: 1487641049 · SANTA ROSA, CA 95407 · Skilled Nursing Facility · NPI assigned 09/29/2005
| Authorized Official | BENSON, FREDERICK (ADMINISTRATOR) |
| NPI Enumeration Date | 09/29/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $7K |
| 2019 | 18 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99304 | 42 | 41 | $12K |