NPI: 1992975627 · WATERTOWN, SD 57201 · Assisted Living Facility · NPI assigned 03/10/2008
| Authorized Official | WIESE, EMIL (OWNER) |
| NPI Enumeration Date | 03/10/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 76 | $83K |
| 2021 | 37 | $47K |
| 2022 | 99 | $140K |
| 2023 | 24 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 236 | 231 | $299K |