NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1124025457 |   |   |   | PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER | 505 N BRADNER AVE | MARION | IN | 469522449 |
1063624245 | CLICK | GERRI | COLLEEN |   | 505 N BRADNER AVE | MARION | IN | 469522449 |