NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1134368459 |   |   |   | FRIENDS OF GOOD SHEPHERD MANOR | 374 GOOD MANOR RD | LUCASVILLE | OH | 45648 |
1912110925 |   |   |   | FRIENDS OF GOOD SHEPHERD MANOR | PO BOX 1029 | LUCASVILLE | OH | 456481029 |