NPI: 1891206314 · WOODBURY, NJ 08096 · Assisted Living Facility · NPI assigned 10/24/2017
| Authorized Official | THOMPSON, RICHARD (MEMBER) |
| NPI Enumeration Date | 10/24/2017 |
Other providers sharing the same authorized official: THOMPSON, RICHARD
| Provider | City | State | Total Paid |
|---|---|---|---|
| HI-LINE HOME PROGRAMS, INC. | GLASGOW | MT | $415K |
| IRONTON HEALTH AND WELLNESS CORP | IRONTON | OH | $228K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 24 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 24 | 24 | $33K |