NPI: 1598159501 · ROANOKE, AL 36274 · Skilled Nursing Facility · NPI assigned 03/27/2015
| Authorized Official | TRAYLOR, JONATHAN (PRESIDENT) |
| NPI Enumeration Date | 03/27/2015 |
Other providers sharing the same authorized official: TRAYLOR, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| COASTAL CAROLINA BEHAVIORAL HEALTHCARE LLC | WHITEVILLE | NC | $80K |
| COASTAL COMMUNITY MANAGEMENT LLC | WHITEVILLE | NC | $74K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 36 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 36 | 14 | $0.00 |