NPI: 1760723449 · SOUTH JORDAN, UT 84095 · Assisted Living Facility · NPI assigned 03/06/2013
| Authorized Official | ALLRED, DEVIN (OWNER / MANAGER) |
| NPI Enumeration Date | 03/06/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 28 | $46K |
| 2023 | 12 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 40 | 36 | $73K |