HAVEN OF OUR LADY OF PEACE, INC.
NPI: 1851321087
· PENSACOLA, FL 32503
· Nursing Facility/Intermediate Care Facility
· NPI assigned 07/04/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PEREZ, MARTHA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
42 |
$0.00 |
| 2020 |
33 |
$0.00 |
| 2021 |
42 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
59 |
55 |
$0.00 |
| 90674 |
|
37 |
36 |
$0.00 |
| 90662 |
|
21 |
18 |
$0.00 |