NPI: 1801516315 · MT JULIET, TN 37122 · Assisted Living Facility · NPI assigned 09/02/2022
| Authorized Official | PATTON, MOLLY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 09/02/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 92 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 92 | 89 | $100K |