- Enrollment id
- O20180221002750
- Associate id
- 1658632229
- Organization name
- GHC OF SAN RAFAEL, LLC
- Associate id - owner
- 6204314370
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2020-01-21
- First name - owner
- DINA
- Last name - owner
- DEGUZMAN
- Enrollment id
- O20180221002750
- Associate id
- 1658632229
- Organization name
- GHC OF SAN RAFAEL, LLC
- Associate id - owner
- 6204314370
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2020-01-21
- First name - owner
- DINA
- Last name - owner
- DEGUZMAN