NPI: 1942603022 · DULUTH, MN 55803 · Home Health Agency · NPI assigned 10/02/2014
| Authorized Official | EDMUNDS, MICHAEL (OWNER) |
| NPI Enumeration Date | 10/02/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 603 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 603 | 25 | $30K |