Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 0648410449 · 3 matching records

Enrollment id
O20050909000137
Associate id
9032141189
Organization name
SHANNONDELL, INC.
Associate id - owner
0648410449
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2002-05-06
First name - owner
JIM
Middle name - owner
A
Last name - owner
SOROM
Title - owner
CEO
Enrollment id
O20050909000137
Associate id
9032141189
Organization name
SHANNONDELL, INC.
Associate id - owner
0648410449
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2002-05-06
First name - owner
JIM
Middle name - owner
A
Last name - owner
SOROM
Enrollment id
O20050909000137
Associate id
9032141189
Organization name
SHANNONDELL, INC.
Associate id - owner
0648410449
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2002-05-06
First name - owner
JIM
Middle name - owner
A
Last name - owner
SOROM

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