NPI: 1609996255 · KENNETH CITY, FL 33709 · Assisted Living Facility · NPI assigned 03/29/2007
| Authorized Official | WYAND, ALBERT (PRESIDENT) |
| NPI Enumeration Date | 03/29/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 303 | $47K |
| 2020 | 404 | $106K |
| 2021 | 106 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 813 | 135 | $153K |