NPI: 1912474800 · EL DORADO, AR 71730 · Assisted Living Facility · NPI assigned 10/29/2018
| Authorized Official | LEMCKE, DAVID (MEMBER) |
| NPI Enumeration Date | 10/29/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 239 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 239 | 49 | $69K |