NPI: 1629608013 · CLERMONT, FL 34711 · Assisted Living Facility · NPI assigned 01/24/2020
| Authorized Official | GRZYBOWSKI, JOANNE (CONTROLLER) |
| NPI Enumeration Date | 01/24/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 13 | 12 | $17K |