FLORIDA DEPARTMENT OF VETERANS AFFAIRS
NPI: 1962494518
· LAKE CITY, FL 32025
· Assisted Living Facility
· NPI assigned 08/19/2005
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | PUCKETT, WILLIAM (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 08/19/2005 |
Related Entities
Other providers sharing the same authorized official: PUCKETT, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
86 |
$119K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
86 |
84 |
$119K |