NPI: 1568714574 · ST PETERSBURG, FL 33705 · Assisted Living Facility · NPI assigned 10/15/2012
| Authorized Official | WILLIAMS, ALBINA (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 10/15/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 159 | $174K |
| 2020 | 160 | $179K |
| 2021 | 208 | $189K |
| 2022 | 169 | $193K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 696 | 634 | $735K |