NPI: 1780207613 · PORT ALLEN, LA 70767 · Attendant Care Provider · NPI assigned 05/27/2020
| Authorized Official | CLARK, KEOSHIA (ADMINISTRATOR) |
| NPI Enumeration Date | 05/27/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,449 | $69K |
| 2023 | 1,185 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 4,634 | 151 | $91K |