NPI: 1790189777 · GRAND LEDGE, MI 48837 · Child Intellectual and/or Developmental Disabilities Respite Care · NPI assigned 10/20/2014
| Authorized Official | BENN, DUANA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/20/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 135 | $13K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 135 | 14 | $13K |