NPI: 1942508171 · LAKEPORT, CA 95453 · Skilled Nursing Facility · NPI assigned 03/11/2011
| Authorized Official | HUBBARD, PAUL (MANAGER) |
| NPI Enumeration Date | 03/11/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 33 | $6K |
| 2023 | 55 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99304 | 88 | 86 | $14K |