NPI: 1831140680 · CASTLEWOOD, SD 57223 · Assisted Living Facility · NPI assigned 05/15/2006
| Authorized Official | HALVERSON, BRAD (MEMBER-PRESIDENT) |
| NPI Enumeration Date | 05/15/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 15 | 12 | $18K |