NPI: 1972026193 · CHASE CITY, VA 23924 · Private Vehicle · NPI assigned 07/19/2017
| Authorized Official | TERRY, TIFFANY (OWNER) |
| NPI Enumeration Date | 07/19/2017 |
Other providers sharing the same authorized official: TERRY, TIFFANY
| Provider | City | State | Total Paid |
|---|---|---|---|
| LOTTIE-ESTELLE GROUP HOME, INC | CHASE CITY | VA | $1.82M |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 491 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2003 | Non-emergency transportation; encounter/trip | 491 | 25 | $6K |