NPI: 1932793726 · PUEBLO, CO 81004 · Assisted Living Facility (Mental Illness) · NPI assigned 02/23/2021
| Authorized Official | CAWTHORN, ROZELLE (OWNER/ADMIN) |
| NPI Enumeration Date | 02/23/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 28 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 28 | 24 | $54K |