Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 2567684236 · 4 matching records

Enrollment id
O20141111001685
Associate id
8325951346
Organization name
DECATUR HOSPITAL AUTHORITY
Associate id - owner
2567684236
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-12-10
First name - owner
DEBRA SUE
Middle name - owner
P
Last name - owner
WAGGONER
Title - owner
SECRETARY
Percentage ownership
0
Enrollment id
O20141125000998
Associate id
8325951346
Organization name
DECATUR HOSPITAL AUTHORITY
Associate id - owner
2567684236
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-12-10
First name - owner
DEBRA SUE
Middle name - owner
P
Last name - owner
WAGGONER
Title - owner
SECRETARY
Percentage ownership
0
Enrollment id
O20150119000535
Associate id
8325951346
Organization name
DECATUR HOSPITAL AUTHORITY
Associate id - owner
2567684236
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2007-12-10
First name - owner
DEBRA SUE
Middle name - owner
P
Last name - owner
WAGGONER
Title - owner
MEMBER OF THE BOARD OF DIRECTORS
Enrollment id
O20150119000535
Associate id
8325951346
Organization name
DECATUR HOSPITAL AUTHORITY
Associate id - owner
2567684236
Type - owner
I
Role code - owner
71
Role text - owner
TRUSTEE OF THE SNF
Association date - owner
2007-12-10
First name - owner
DEBRA SUE
Middle name - owner
P
Last name - owner
WAGGONER

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