Public record

CMS Hospice All Owners

Associate id - owner: 9537574439 · 1 matching record

Enrollment id
O20201026003351
Associate id
2264852524
Organization name
PAX ET VITA HOSPICE AGENCY LLC
Associate id - owner
9537574439
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-11-25
First name - owner
LESLIE
Middle name - owner
N
Last name - owner
BENNETT
Title - owner
NURSING SUPERVISOR

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