NPI: 1750759809 · CENTERVILLE, UT 84014 · Assisted Living Facility · NPI assigned 09/07/2015
| Authorized Official | GROSE, THOMAS (CEO) |
| NPI Enumeration Date | 09/07/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 39 | $73K |
| 2023 | 12 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 51 | 48 | $97K |