NPI: 1497007207 · TUNICA, MS 38676 · Exclusive Provider Organization · NPI assigned 10/04/2012
| Authorized Official | WILLIS, BILLY (ASSISTANT ADMINISTRATOR) |
| NPI Enumeration Date | 10/04/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,228 | $60K |
| 2020 | 801 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5100 | Day care services, adult; per 15 minutes | 2,029 | 106 | $91K |