- Enrollment id
- O20180813003372
- Associate id
- 9436408127
- Organization name
- WISE LIFE CARE, LLC
- Associate id - owner
- 5597839167
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2024-10-02
- First name - owner
- VIJAY
- Middle name - owner
- N
- Last name - owner
- KUMAR
- Enrollment id
- O20180813003372
- Associate id
- 9436408127
- Organization name
- WISE LIFE CARE, LLC
- Associate id - owner
- 5597839167
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2024-10-02
- First name - owner
- VIJAY
- Middle name - owner
- N
- Last name - owner
- KUMAR