Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3870735293 · 2 matching records

Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
3870735293
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-11-01
First name - owner
PALLAKI
Middle name - owner
D
Last name - owner
RAVI
Enrollment id
O20200122002847
Associate id
5496180333
Organization name
PHELPS KY OPCO LLC
Associate id - owner
3870735293
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2020-11-01
First name - owner
PALLAKI
Middle name - owner
D
Last name - owner
RAVI

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