NPI: 1801014147 · SOUTH BEND, IN 46635 · Assisted Living Facility · NPI assigned 04/23/2007
| Authorized Official | HOESE, JUDITH (ADMINISTRATOR) |
| NPI Enumeration Date | 04/23/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 40 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 40 | 39 | $69K |