NPI: 1740799535 · LONGWOOD, FL 32750 · Assisted Living Facility · NPI assigned 09/25/2017
| Authorized Official | WOLFRUM, SHELBY (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 09/25/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 255 | $261K |
| 2020 | 246 | $251K |
| 2021 | 96 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 597 | 574 | $596K |