NPI: 1881152460 · SAGINAW, MI 48602 · Licensed Practical Nurse · NPI assigned 03/04/2019
| Authorized Official | JACKSON, SHONDRAL (OWNER) |
| NPI Enumeration Date | 03/04/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 256 | $27K |
| 2021 | 761 | $78K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2015 | Comprehensive community support services, per 15 minutes | 1,017 | 50 | $105K |