NPI: 1659095024 · LONDON, KY 40744 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 09/29/2022
| Authorized Official | FULTZ, MARIETTA (OWNER/PROGRAM DIRECTOR) |
| NPI Enumeration Date | 09/29/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 887 | $174K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 887 | 36 | $174K |