NPI: 1790150308 · JEFFERSON, TX 75657 · Assisted Living Facility · NPI assigned 12/08/2015
| Authorized Official | POWELL, LAWRENCE (PRESIDENT) |
| NPI Enumeration Date | 12/08/2015 |
Other providers sharing the same authorized official: POWELL, LAWRENCE
| Provider | City | State | Total Paid |
|---|---|---|---|
| CSL 2015 WINNSBORO LLC | WINNSBORO | TX | $233K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 220 | $52K |
| 2021 | 607 | $179K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 827 | 208 | $232K |