Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4688084858 · 3 matching records

Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
4688084858
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-08-09
First name - owner
GAVIN
Last name - owner
MONTEATH
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
4688084858
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2019-08-09
First name - owner
GAVIN
Last name - owner
MONTEATH
Title - owner
ADMINISTRATOR
Enrollment id
O20070511000223
Associate id
3173521176
Organization name
POCATELLO HEALTH SERVICES INC
Associate id - owner
4688084858
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-07-08
First name - owner
GAVIN
Last name - owner
MONTEATH

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