Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4486182243 · 2 matching records

Enrollment id
O20091110000708
Associate id
6204974314
Organization name
PIKE CREEK HEALTHCARE SERVICES LLC
Associate id - owner
4486182243
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-11-01
First name - owner
BRANDI
Last name - owner
WILSON
Title - owner
AD;
Percentage ownership
100
Enrollment id
O20091110000708
Associate id
6204974314
Organization name
PIKE CREEK HEALTHCARE SERVICES LLC
Associate id - owner
4486182243
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-01-08
First name - owner
BRANDI
Last name - owner
WILSON

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