NPI: 1629568712 · SOUTHAMPTON, PA 18966 · Adult Day Care Clinic/Center · NPI assigned 05/14/2018
| Authorized Official | GVINIANIDZE, DAVID (PRESIDENT) |
| NPI Enumeration Date | 05/14/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 142 | $11K |
| 2023 | 332 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5102 | Day care services, adult; per diem | 474 | 36 | $36K |