NPI: 1891399499 · ONTARIO, CA 91762 · Assisted Living Facility · NPI assigned 11/24/2020
| Authorized Official | GARCIA, RICHIE (LICENSEE, ADMINISTRATOR) |
| NPI Enumeration Date | 11/24/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 107 | $382K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 107 | 100 | $382K |