NPI: 1962140210 · ORANGE PARK, FL 32073 · Assisted Living Facility · NPI assigned 05/26/2022
| Authorized Official | ANDRAWIS, ASHRAF (OWNER) |
| NPI Enumeration Date | 05/26/2022 |
Other providers sharing the same authorized official: ANDRAWIS, ASHRAF
| Provider | City | State | Total Paid |
|---|---|---|---|
| PREMIER SPINE & PAIN CENTER PA | ORANGE PARK | FL | $207K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 159 | $183K |
| 2024 | 169 | $234K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 328 | 304 | $417K |