Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 5294133575 · 2 matching records

Enrollment id
O20151023000912
Associate id
3779892260
Organization name
CUCUMBER HOLDINGS LLC
Associate id - owner
5294133575
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-10-01
First name - owner
SAMUEL
Last name - owner
HARTLEY
Title - owner
ADMINISTRATOR
Enrollment id
O20151023000912
Associate id
3779892260
Organization name
CUCUMBER HOLDINGS LLC
Associate id - owner
5294133575
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2021-10-01
First name - owner
SAMUEL
Last name - owner
HARTLEY
Title - owner
ADMINISTRATOR

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