Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 2264464742 · 2 matching records

Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
2264464742
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-14
First name - owner
DUSTY
Last name - owner
DAVIS
Enrollment id
O20150702002610
Associate id
3678885639
Organization name
LILIHA KUPUNA SNF LLC
Associate id - owner
2264464742
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-03-14
First name - owner
DUSTY
Last name - owner
DAVIS

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