Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0143394734 · 2 matching records

Enrollment id
O20251001003324
Associate id
1557867249
Organization name
233 CARROLLTON OPCO LLC
Associate id - owner
0143394734
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-07-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
LIPHAM
Enrollment id
O20251001003324
Associate id
1557867249
Organization name
233 CARROLLTON OPCO LLC
Associate id - owner
0143394734
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-01
First name - owner
MARK
Middle name - owner
L
Last name - owner
LIPHAM

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