- Enrollment id
- O20030127000000
- Associate id
- 6901714609
- Organization name
- NEW SURFSIDE NURSING HOME LLC
- Associate id - owner
- 0143280446
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2023-08-01
- First name - owner
- POLINA
- Last name - owner
- KHANINA
- Enrollment id
- O20030127000000
- Associate id
- 6901714609
- Organization name
- NEW SURFSIDE NURSING HOME LLC
- Associate id - owner
- 0143280446
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2023-08-01
- First name - owner
- POLINA
- Last name - owner
- KHANINA