NPI: 1841819737 · BURLINGTON, NJ 08016 · Supports Brokerage Agency · NPI assigned 04/11/2020
| Authorized Official | THOMAS, VIVIAN (MEMBER) |
| NPI Enumeration Date | 04/11/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 40 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | 40 | 12 | $12K |