- Enrollment id
- O20160525000979
- Associate id
- 5496044836
- Organization name
- ANGEL WINGS HEALTHCARE LLC
- Associate id - owner
- 4082983614
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 2017-02-01
- First name - owner
- LONNIE
- Middle name - owner
- L
- Last name - owner
- LEWIS
- Title - owner
- MEMBER/OWNER
- Percentage ownership
- 25
- Enrollment id
- O20160525000979
- Associate id
- 5496044836
- Organization name
- ANGEL WINGS HEALTHCARE LLC
- Associate id - owner
- 4082983614
- Type - owner
- I
- Role code - owner
- 41
- Role text - owner
- CORPORATE DIRECTOR
- Association date - owner
- 2017-02-01
- First name - owner
- LONNIE
- Middle name - owner
- L
- Last name - owner
- LEWIS
- Title - owner
- DIRECTOR
- Percentage ownership
- 25
- Enrollment id
- O20160525000979
- Associate id
- 5496044836
- Organization name
- ANGEL WINGS HEALTHCARE LLC
- Associate id - owner
- 4082983614
- Type - owner
- I
- Role code - owner
- 42
- Role text - owner
- W-2 MANAGING EMPLOYEE
- Association date - owner
- 2017-02-01
- First name - owner
- LONNIE
- Middle name - owner
- L
- Last name - owner
- LEWIS
- Title - owner
- ALTERNATE ADMINISTRATOR
- Percentage ownership
- 25