Public record

CMS Home Health Agency All Owners

Associate id - owner: 8123459617 · 1 matching record

Enrollment id
O20201028000149
Associate id
7012327356
Organization name
PROVITAL CARE INC
Associate id - owner
8123459617
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2026-04-01
First name - owner
ANNA
Last name - owner
MANUKYAN
Title - owner
DPCS
Percentage ownership
0

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list