- Enrollment id
- O20050228000365
- Associate id
- 4082667217
- Organization name
- BETHEL LUTHERAN NURSING & REHABILITATION CENTER
- Associate id - owner
- 4183997430
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2021-09-21
- First name - owner
- BELINDA
- Last name - owner
- MOEN
- Enrollment id
- O20050228000365
- Associate id
- 4082667217
- Organization name
- BETHEL LUTHERAN NURSING & REHABILITATION CENTER
- Associate id - owner
- 4183997430
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2021-09-21
- First name - owner
- BELINDA
- Last name - owner
- MOEN