- Enrollment id
- O20100212000691
- Associate id
- 5698819746
- Organization name
- LACOBA HOMES INC
- Associate id - owner
- 0547776718
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2015-10-26
- First name - owner
- JACOB
- Last name - owner
- BOWER
- Enrollment id
- O20100212000691
- Associate id
- 5698819746
- Organization name
- LACOBA HOMES INC
- Associate id - owner
- 0547776718
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2015-10-26
- First name - owner
- JACOB
- Last name - owner
- BOWER