- Enrollment id
- O20050909000137
- Associate id
- 9032141189
- Organization name
- SHANNONDELL, INC.
- Associate id - owner
- 1355850702
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2016-09-02
- First name - owner
- WENDY
- Last name - owner
- KIM
- Enrollment id
- O20050909000137
- Associate id
- 9032141189
- Organization name
- SHANNONDELL, INC.
- Associate id - owner
- 1355850702
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2016-09-02
- First name - owner
- WENDY
- Last name - owner
- KIM