NPI: 1790116929 · FRANKLIN, NJ 07416 · Assisted Living Facility · NPI assigned 12/13/2013
| Authorized Official | TAVARES, DANIEL (ADMINISTRATOR) |
| NPI Enumeration Date | 12/13/2013 |
Other providers sharing the same authorized official: TAVARES, DANIEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| FREDERICK RAY PHARMACY LLC | MOODUS | CT | $42K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $15K |
| 2021 | 14 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 26 | 26 | $36K |