NPI: 1558420828 · WELLSTON, OH 45692 · Assisted Living Facility · NPI assigned 12/06/2006
| Authorized Official | NICHOLS, DAVID (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 12/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 27 | $63.34 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 27 | 14 | $63.34 |