NPI: 1710220850 · WELLINGTON, FL 33414 · Assisted Living Facility · NPI assigned 03/27/2013
| Authorized Official | HERNANDEZ, MARLENE (OWNER/ ADMINISTRATOR) |
| NPI Enumeration Date | 03/27/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 12 | 12 | $17K |