NPI: 1770134389 · DUNEDIN, FL 34698 · Assisted Living Facility · NPI assigned 09/25/2019
| Authorized Official | KODSI, MEDHAT (OWNER) |
| NPI Enumeration Date | 09/25/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 48 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 48 | 48 | $69K |