- Enrollment id
- O20151120002749
- Associate id
- 5395045405
- Organization name
- FAIRHAVEN OPCO, LLC
- Associate id - owner
- 1052817384
- Type - owner
- O
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2017-02-01
- Organization name - owner
- THE PROVIDENCE GROUPS, LLC
- Address line 1 - owner
- 3403 PLEASANT GROVE RD
- City - owner
- WHITE HOUSE
- State - owner
- TN
- Zip code - owner
- 371885072
- Corporation - owner
- N
- Llc - owner
- Y
- Medical provider supplier - owner
- N
- Management services company - owner
- N
- Medical staffing company - owner
- N
- Holding company - owner
- N
- Investment firm - owner
- N
- Financial institution - owner
- N
- Consulting firm - owner
- N
- For profit - owner
- N
- Non profit - owner
- N
- Private equity company - owner
- N
- Reit - owner
- N
- Chain home office - owner
- N
- Trust or trustee - owner
- N
- Other type - owner
- N