Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3375701816 · 1 matching record

Enrollment id
O20161104000018
Associate id
6204114796
Organization name
LAKE PARK OPERATIONS, LLC
Associate id - owner
3375701816
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2022-07-01
First name - owner
WILLIAM
Middle name - owner
LANTZ
Last name - owner
EFFINGER

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