NPI: 1578850590 · SALT LAKE CITY, UT 84117 · Assisted Living Facility · NPI assigned 06/29/2011
| Authorized Official | SIMON, LARY (SENIOR VICE PRESIDENT AND CFO) |
| NPI Enumeration Date | 06/29/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 292 | $352K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 292 | 184 | $352K |