- Enrollment id
- O20090505000013
- Associate id
- 2264580018
- Organization name
- WARREN PARK HEALTH AND LIVING CENTER, LLC
- Associate id - owner
- 1254813470
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2023-09-04
- First name - owner
- TAMRA
- Last name - owner
- MANDELDOVE
- Enrollment id
- O20090505000013
- Associate id
- 2264580018
- Organization name
- WARREN PARK HEALTH AND LIVING CENTER, LLC
- Associate id - owner
- 1254813470
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2023-09-04
- First name - owner
- TAMRA
- Last name - owner
- MANDELDOVE