- Enrollment id
- O20200121000751
- Associate id
- 7517392558
- Organization name
- WEST MEMPHIS WELLNESS LLC
- Associate id - owner
- 3375520711
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2019-12-31
- First name - owner
- ROGER
- Middle name - owner
- L
- Last name - owner
- TROXEL
- Enrollment id
- O20200121000751
- Associate id
- 7517392558
- Organization name
- WEST MEMPHIS WELLNESS LLC
- Associate id - owner
- 3375520711
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2019-12-31
- First name - owner
- ROGER
- Middle name - owner
- L
- Last name - owner
- TROXEL