Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0547763070 · 2 matching records

Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
0547763070
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-12-16
First name - owner
FATE
Last name - owner
ENABULELE
Enrollment id
O20161122000044
Associate id
6204115918
Organization name
LAKE MERRITT HEALTHCARE CENTER LLC
Associate id - owner
0547763070
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-12-16
First name - owner
FATE
Last name - owner
ENABULELE

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