Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3072969674 · 2 matching records

Enrollment id
O20161104000018
Associate id
6204114796
Organization name
LAKE PARK OPERATIONS, LLC
Associate id - owner
3072969674
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-01-08
First name - owner
ASHLEY
Last name - owner
SEVOR
Enrollment id
O20161104000018
Associate id
6204114796
Organization name
LAKE PARK OPERATIONS, LLC
Associate id - owner
3072969674
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-21
First name - owner
ASHLEY
Last name - owner
SEVOR

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