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- O20070716000564
- Associate id
- 1052411329
- Organization name
- PARK ANAHEIM HEALTH CARE, LLC
- Associate id - owner
- 1557449527
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2024-06-09
- First name - owner
- FARIBORZ
- Last name - owner
- SHAMS
- Enrollment id
- O20070716000564
- Associate id
- 1052411329
- Organization name
- PARK ANAHEIM HEALTH CARE, LLC
- Associate id - owner
- 1557449527
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2024-06-09
- First name - owner
- FARIBORZ
- Last name - owner
- SHAMS
- Enrollment id
- O20110316000221
- Associate id
- 6406038207
- Organization name
- ANAHEIM HEALTHCARE CENTER LLC
- Associate id - owner
- 1557449527
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2019-02-01
- First name - owner
- FARIBORZ
- Last name - owner
- SHAMS
- Enrollment id
- O20110316000221
- Associate id
- 6406038207
- Organization name
- ANAHEIM HEALTHCARE CENTER LLC
- Associate id - owner
- 1557449527
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2019-02-01
- First name - owner
- FARIBORZ
- Last name - owner
- SHAMS
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- O20120109000535
- Associate id
- 6406022789
- Organization name
- 8520 WESTERN AVENUE INC
- Associate id - owner
- 1557449527
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2021-01-01
- First name - owner
- FARIBORZ
- Last name - owner
- SHAMS
- Enrollment id
- O20120109000535
- Associate id
- 6406022789
- Organization name
- 8520 WESTERN AVENUE INC
- Associate id - owner
- 1557449527
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2021-01-01
- First name - owner
- FARIBORZ
- Last name - owner
- SHAMS