NPI: 1538373048 · APPLE VALLEY, MN 55124 · Assisted Living Facility · NPI assigned 05/10/2007
| Authorized Official | ROBERTS, KATHRYN (CEO) |
| NPI Enumeration Date | 05/10/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 13 | 12 | $32K |