NPI: 1710009170 · BENTONVILLE, AR 72712 · Assisted Living Facility · NPI assigned 04/05/2007
| Authorized Official | FLORO, ANGEL (ADMINISTRATOR) |
| NPI Enumeration Date | 04/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 139 | $200K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 139 | 115 | $200K |