NPI: 1558690503 · PLAIN CITY, OH 43064 · Assisted Living Facility · NPI assigned 12/21/2009
| Authorized Official | HARRIS, SANDRA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/21/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $23K |
| 2023 | 14 | $20K |
| 2024 | 26 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 55 | 55 | $120K |