NPI: 1760649412 · ORLANDO, FL 32807 · Assisted Living Facility (Mental Illness) · NPI assigned 05/20/2008
| Authorized Official | PATACSIL, PROSERFINO (ADMINISTRATOR) |
| NPI Enumeration Date | 05/20/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 117 | $130K |
| 2020 | 127 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 244 | 241 | $259K |