- Enrollment id
- O20050808000114
- Associate id
- 4688603962
- Organization name
- PRAIRIE NURSING FACILITY LLC
- Associate id - owner
- 3577579549
- Type - owner
- I
- Role code - owner
- 41
- Role text - owner
- CORPORATE DIRECTOR
- Association date - owner
- 2019-05-01
- First name - owner
- MARSHA
- Last name - owner
- KONICHEK
- Enrollment id
- O20050808000114
- Associate id
- 4688603962
- Organization name
- PRAIRIE NURSING FACILITY LLC
- Associate id - owner
- 3577579549
- Type - owner
- I
- Role code - owner
- 71
- Role text - owner
- TRUSTEE OF THE SNF
- Association date - owner
- 2019-05-01
- First name - owner
- MARSHA
- Last name - owner
- KONICHEK