| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184968885 | HERITAGE MANOR - GIBSON CITY, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 | |||
| 1699765719 | HERITAGE MANOR - GIBSON CITY, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |