NPI: 1942456652 · PULASKI, TN 38478 · Assisted Living Facility · NPI assigned 08/13/2008
| Authorized Official | JOURNEY, KATHERINE (ADMINISTRATOR) |
| NPI Enumeration Date | 08/13/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 15 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 15 | 13 | $13K |