Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 1658508171 · 3 matching records

Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
1658508171
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-03-01
First name - owner
BRETT
Last name - owner
WATSON
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
1658508171
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2017-03-01
First name - owner
BRETT
Last name - owner
WATSON
Title - owner
ADMINISTRATOR
Enrollment id
O20140502000003
Associate id
7214160043
Organization name
WILDWOOD HEALTHCARE INC.
Associate id - owner
1658508171
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-03-01
First name - owner
BRETT
Last name - owner
WATSON

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