Public record

CMS Home Health Agency All Owners

Associate id - owner: 8921453143 · 2 matching records

Enrollment id
O20181012000888
Associate id
7911258520
Organization name
METHODIST FREMONT HEALTH
Associate id - owner
8921453143
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-31
First name - owner
SHAUN
Last name - owner
CUSTARD
Title - owner
VP OF PROFESSIONAL & SUPPORT SERVIC
Enrollment id
O20181012000888
Associate id
7911258520
Organization name
METHODIST FREMONT HEALTH
Associate id - owner
8921453143
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-05-31
First name - owner
SHAUN
Last name - owner
CUSTARD
Title - owner
VP OF PROFESSIONAL & SUPPORT SERVIC

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