NPI: 1861490245 · NORTH ROYALTON, OH 44133 · Assisted Living Facility · NPI assigned 07/11/2005
| Authorized Official | GAITANAROS, DOULA (PRESIDENT) |
| NPI Enumeration Date | 07/11/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 164 | $88K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 164 | 48 | $88K |