Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 4880103233 · 2 matching records

Enrollment id
O20050909000137
Associate id
9032141189
Organization name
SHANNONDELL, INC.
Associate id - owner
4880103233
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2007-07-09
First name - owner
KELLY
Middle name - owner
O
Last name - owner
MOORE
Enrollment id
O20050909000137
Associate id
9032141189
Organization name
SHANNONDELL, INC.
Associate id - owner
4880103233
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2007-07-09
First name - owner
KELLY
Middle name - owner
O
Last name - owner
MOORE

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