- Enrollment id
- O20050531000161
- Associate id
- 1052353125
- Organization name
- SMITHTOWN HEALTH CARE MANAGEMENT
- Associate id - owner
- 5496128399
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2019-12-09
- First name - owner
- LISA
- Last name - owner
- TENREIRO
- Enrollment id
- O20050531000161
- Associate id
- 1052353125
- Organization name
- SMITHTOWN HEALTH CARE MANAGEMENT
- Associate id - owner
- 5496128399
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2019-12-09
- First name - owner
- LISA
- Last name - owner
- TENREIRO