- Enrollment id
- O20190621001155
- Associate id
- 7315271517
- Organization name
- BSD CARE AT AJ LLC
- Associate id - owner
- 0042309320
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 2019-05-31
- First name - owner
- MORTON
- Last name - owner
- PANETH
- Percentage ownership
- 8.33
- Enrollment id
- O20190621001155
- Associate id
- 7315271517
- Organization name
- BSD CARE AT AJ LLC
- Associate id - owner
- 1052409729
- Type - owner
- I
- Role code - owner
- 42
- Role text - owner
- W-2 MANAGING EMPLOYEE
- Association date - owner
- 2019-05-31
- First name - owner
- SHAWNE
- Last name - owner
- MIMNA
- Title - owner
- ADMINISTRATOR
- Percentage ownership
- 100
- Enrollment id
- O20190621001155
- Associate id
- 7315271517
- Organization name
- BSD CARE AT AJ LLC
- Associate id - owner
- 7911225685
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 2019-05-31
- First name - owner
- ABRAHAM
- Last name - owner
- KRAUS
- Percentage ownership
- 75