Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4688991367 · 2 matching records

Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
4688991367
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2011-11-07
First name - owner
LYNN
Middle name - owner
WEATHERINGTON
Last name - owner
BULLOCK
Title - owner
ADMINISTRATOR
Enrollment id
O20110224000261
Associate id
5698956613
Organization name
EAGLE PEAK LTC GROUP, LLC
Associate id - owner
4688991367
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-04-10
First name - owner
LYNN
Middle name - owner
WEATHERINGTON
Last name - owner
BULLOCK

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