NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1285762450 |   |   |   | OAK GROVE MANOR MRDD | 1661 OLD HENDERSON RD | COLUMBUS | OH | 432203644 |
1629264379 |   |   |   | PEREGRINE SERVICES OF CANTON, LLC | 1661 OLD HENDERSON RD | COLUMBUS | OH | 432203644 |