NPI: 1790498327 · UKIAH, CA 95482 · Supports Brokerage Agency · NPI assigned 12/28/2022
| Authorized Official | BRUDER, PATTY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/28/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 54 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5170 | Home delivered meals, including preparation; per meal | 54 | 54 | $9K |