NPI: 1841272226 · DEVILS LAKE, ND 58301 · Home Health Agency · NPI assigned 11/18/2005
| Authorized Official | JOHANSEN, KIMBERLY (CFO) |
| Parent Organization | THE EVANGELICAL LUTHERAN GOOD SAMARITAN |
| NPI Enumeration Date | 11/18/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 48 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1030 | Nursing care, in the home, by registered nurse, per diem | 48 | 12 | $1K |