NPI: 1528301405 · NORTH FORT MYERS, FL 33917 · Assisted Living Facility · NPI assigned 03/29/2013
| Authorized Official | RUSS, PHYLLIS (OWNER) |
| NPI Enumeration Date | 03/29/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 49 | $62K |
| 2021 | 175 | $223K |
| 2022 | 99 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 323 | 318 | $430K |