- Enrollment id
- O20090323000232
- Associate id
- 4183781966
- Organization name
- BELLAKEN HEALTH GROUP, INC.
- Associate id - owner
- 5193290948
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2017-06-01
- First name - owner
- JEFFREY
- Last name - owner
- TONG
- Enrollment id
- O20090323000232
- Associate id
- 4183781966
- Organization name
- BELLAKEN HEALTH GROUP, INC.
- Associate id - owner
- 5193290948
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2017-06-01
- First name - owner
- JEFFREY
- Last name - owner
- TONG