NPI: 1588121958 · KILGORE, TX 75662 · Assisted Living Facility · NPI assigned 02/21/2019
| Authorized Official | STIERWALT, TANNER (AVPO) |
| NPI Enumeration Date | 02/21/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 58 | $9K |
| 2021 | 663 | $145K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 721 | 168 | $155K |