NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1275511487 |   |   |   | BLUE WATER NURSING CENTER | 5635 LAKESHORE RD | FORT GRATIOT | MI | 480592817 |
1124521588 | BENOIT | LISA | MARIE |   | 5635 LAKESHORE RD | FORT GRATIOT | MI | 480592817 |