NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1033689385
LOCUST RIDGE HEALTHCARE LLC
15 AMERICA AVE UNIT 304
LAKEWOOD
NJ
087014582
1154419869
LOCUST RIDGE NURSING HOME INC
12745 ELM CORNER RD
WILLIAMSBURG
OH
451769621
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