Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4789783556 · 2 matching records

Enrollment id
O20070619000471
Associate id
2264531037
Organization name
SENIOR CARE FOREST LAKE, LLC
Associate id - owner
4789783556
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-03-01
First name - owner
RICHARD
Last name - owner
MARTIN
Title - owner
SECRETARY
Percentage ownership
20
Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
4789783556
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-12-07
First name - owner
RICHARD
Last name - owner
MARTIN
Title - owner
SECRETARY

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