NPI: 1871895128 · BRISTOL, TN 37620 · Home Modifications Contractor · NPI assigned 11/18/2010
| Authorized Official | COSTINE, LARRY (VICE PRESIDENT) |
| NPI Enumeration Date | 11/18/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5165 | Home modifications; per service | 17 | 14 | $51K |