Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 2062907454 · 1 matching record

Enrollment id
O20050802000619
Associate id
0749218584
Organization name
COUNTRYSIDE HEALTH SERVICES LLC
Associate id - owner
2062907454
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-06-15
First name - owner
JACE
Middle name - owner
CLARK
Last name - owner
ROGERS

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