NPI: 1952607061 · LAKE HAVASU CITY, AZ 86406 · Assisted Living Facility · NPI assigned 02/07/2011
| Authorized Official | GUEVARA, FLORA (DIRECTOR) |
| NPI Enumeration Date | 02/07/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $32K |
| 2019 | 13 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 39 | 37 | $44K |