NPI: 1669857264 · ST PETERSBURG, FL 33714 · Assisted Living Facility · NPI assigned 07/23/2015
| Authorized Official | ROJAS, LIZA (MGR) |
| NPI Enumeration Date | 07/23/2015 |
Other providers sharing the same authorized official: ROJAS, LIZA
| Provider | City | State | Total Paid |
|---|---|---|---|
| FT MYERS ALF BSLC LLC | FORT MYERS | FL | $232K |
| TANGERINE COVE OF BROOKSVILLE BSLC LLC | BROOKSVILLE | FL | $114K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 13 | 13 | $14K |