NPI: 1639692486 · FORT LAUDERDALE, FL 33312 · Assisted Living Facility · NPI assigned 07/24/2017
| Authorized Official | GUIRGUIS, DAVID (MANAGER) |
| NPI Enumeration Date | 07/24/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 13 | 12 | $17K |