NPI: 1760147037 · NEW LONDON, MN 56273 · Assisted Living Facility · NPI assigned 11/02/2021
| Authorized Official | BORMANN, ASHLEY (ADMINISTRATOR) |
| Parent Organization | BETHESDA |
| NPI Enumeration Date | 11/02/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 672 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 672 | 25 | $104K |