Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0042120966 · 2 matching records

Enrollment id
O20050808000114
Associate id
4688603962
Organization name
PRAIRIE NURSING FACILITY LLC
Associate id - owner
0042120966
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-10-01
First name - owner
JOSEPH
Middle name - owner
P.
Last name - owner
FRIAR
Title - owner
VICE CHAIR
Enrollment id
O20050808000114
Associate id
4688603962
Organization name
PRAIRIE NURSING FACILITY LLC
Associate id - owner
0042120966
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2021-10-01
First name - owner
JOSEPH
Middle name - owner
P.
Last name - owner
FRIAR

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