NPI: 1821617333 · PENSACOLA, FL 32534 · Assisted Living Facility · NPI assigned 04/14/2020
| Authorized Official | SHELTON, MARANDA (ADMINISTRATOR) |
| NPI Enumeration Date | 04/14/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 80 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 80 | 79 | $108K |