NPI: 1629325782 · FLAGSTAFF, AZ 86004 · Assisted Living Facility · NPI assigned 08/08/2012
| Authorized Official | ROSE, DONNA (OWNER) |
| NPI Enumeration Date | 08/08/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 12 | 12 | $20K |