NPI: 1962492751 · LORAIN, OH 44053 · Skilled Nursing Facility · NPI assigned 10/24/2005
| Authorized Official | WIEDENMANNOTT, SARAH (EX MEDICARE SPECIALIST) |
| NPI Enumeration Date | 10/24/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 59 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 59 | 48 | $77K |