EMPIRE INTERNATIONAL CARE CENTER

Meals

Code: 174200000X

Home Health

Code: 251E00000X

Nursing Care

Code: 251J00000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Substance Abuse Rehabilitation Facility — Substance Abuse Treatment, Children

Code: 3245S0500X

Non-emergency Medical Transport (VAN)

Code: 343900000X

In Home Supportive Care

Code: 253Z00000X