Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3274588306 · 3 matching records

Enrollment id
O20030916000041
Associate id
5991616005
Organization name
CASAVINA FOUNDATION CORP
Associate id - owner
3274588306
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-06-01
First name - owner
SUREKHA
Middle name - owner
S
Last name - owner
VETSA
Enrollment id
O20030916000041
Associate id
5991616005
Organization name
CASAVINA FOUNDATION CORP
Associate id - owner
3274588306
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-06-01
First name - owner
SUREKHA
Middle name - owner
S
Last name - owner
VETSA
Enrollment id
O20160203002793
Associate id
2769786201
Organization name
DRAGONFRUIT HOLDINGS LLC
Associate id - owner
3274588306
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2018-03-01
First name - owner
SUREKHA
Middle name - owner
S
Last name - owner
VETSA
Title - owner
MD;

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