Public record

CMS Home Health Agency All Owners

Associate id - owner: 9234513037 · 1 matching record

Enrollment id
O20080529000163
Associate id
5092885376
Organization name
PROVIDIA HOME CARE LLC
Associate id - owner
9234513037
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-07-14
First name - owner
AMY
Last name - owner
MONTGOMERY
Title - owner
DIRECTOR OF NURSING

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