NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1043928807
THE WATERS OF LAGRANGE SKILLED NURSING FACILITY LLC
240 FENCL LN
HILLSIDE
IL
601622067
1013624287
POTTS
MATTHEW
713 WAKEFIELD CIR
KENDALLVILLE
IN
467552604
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