Public record

CMS Home Health Agency All Owners

Associate id - owner: 3274581038 · 2 matching records

Enrollment id
O20040602001279
Associate id
2163404229
Organization name
HAVEN HEALTHCARE SYSTEMS, INC
Associate id - owner
3274581038
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-11-09
First name - owner
MARY
Last name - owner
WUNDERLICH
Title - owner
ALTERNATE ADMINISTRATOR
Percentage ownership
25
Enrollment id
O20040602001279
Associate id
2163404229
Organization name
HAVEN HEALTHCARE SYSTEMS, INC
Associate id - owner
3274581038
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-11-09
First name - owner
MARY
Last name - owner
WUNDERLICH
Title - owner
ALTERNATE ADMINISTRATOR
Percentage ownership
25

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