| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1275511487 | BLUE WATER NURSING CENTER | 5635 LAKESHORE RD | FORT GRATIOT | MI | 480592817 | |||
| 1891955720 | MEDILODGE OF PORT HURON, LLC | 5635 LAKESHORE RD | FORT GRATIOT | MI | 480592817 | |||
| 1942641964 | PORT HURON OPCO LLC | 7400 NEW LA GRANGE RD | LOUISVILLE | KY | 402224870 | |||
| 1124521588 | BENOIT | LISA | MARIE | 5635 LAKESHORE RD | FORT GRATIOT | MI | 480592817 |