NPI: 1568996734 · SUNRISE, FL 33323 · Assisted Living Facility · NPI assigned 04/14/2017
| Authorized Official | DAVIS, TAMEIKA (PRESIDENT) |
| NPI Enumeration Date | 04/14/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 12 | 12 | $16K |