NPI: 1710922117 · OSAGE BEACH, MO 65065 · Skilled Nursing Facility · NPI assigned 06/19/2006
| Authorized Official | PETERSEN, MARK (PRESIDENT) |
| NPI Enumeration Date | 06/19/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 52 | $417.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 52 | 12 | $417.56 |