AVALON CARE CENTER-WILLOW WOOD, INC
NPI: 1689675340
· SALT LAKE CITY, UT 84117
· Skilled Nursing Facility
· NPI assigned 08/03/2005
$131.01
Total Medicaid Paid
Provider Details
| Authorized Official | LINCOLN, FAYE (VP, POLICY/GOVERNMENT RELATIONS) |
| NPI Enumeration Date | 08/03/2005 |
Related Entities
Other providers sharing the same authorized official: LINCOLN, FAYE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
20 |
$131.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
20 |
12 |
$131.01 |