Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4082121769 · 2 matching records

Enrollment id
O20170324001957
Associate id
7315222841
Organization name
KING DAVID AT AUTUMN LAKE LLC
Associate id - owner
4082121769
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-17
First name - owner
DANIEL
Last name - owner
DONATY
Enrollment id
O20170324001957
Associate id
7315222841
Organization name
KING DAVID AT AUTUMN LAKE LLC
Associate id - owner
4082121769
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2023-01-17
First name - owner
DANIEL
Last name - owner
DONATY

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