NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1417175860 |   |   |   | SPRING HAVEN RETIREMENT, LLC | 1225 HAVENDALE BLVD NW | WINTER HAVEN | FL | 338811349 |
1992149397 |   |   |   | NIC 5 SPRING HAVEN LEASING LLC | PO BOX 1700, NIC 5 SPRING HAVEN LEASING LLC | LAKE OSWEGO | OR | 97035 |