| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1588075592 | VLOP LLC | 120 W MAIN ST | VAN WERT | OH | 458911761 | |||
| 1699326751 | GRAND LAKE OPERATIONS | 120 W MAIN ST STE 200 | VAN WERT | OH | 458911761 | |||
| 1720633639 | GRAND LAKE OPERATIONS, LLC | 120 W MAIN ST STE 200 | VAN WERT | OH | 458911761 |