NPI: 1689060436 · CLEARWATER, FL 33755 · Assisted Living Facility · NPI assigned 04/08/2015
| Authorized Official | LEE, CLARA (OWNER) |
| NPI Enumeration Date | 04/08/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 58 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 58 | 58 | $63K |