NPI: 1780765487 · NORTH BRANCH, MN 55056 · Assisted Living Facility · NPI assigned 10/18/2006
| Authorized Official | BOKA, ETTAFA (CO-OWNER) |
| NPI Enumeration Date | 10/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 288 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 288 | 12 | $100K |