Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6507030970 · 2 matching records

Enrollment id
O20050808000114
Associate id
4688603962
Organization name
PRAIRIE NURSING FACILITY LLC
Associate id - owner
6507030970
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-03-18
First name - owner
RITA
Middle name - owner
C
Last name - owner
MOORE
Enrollment id
O20050808000114
Associate id
4688603962
Organization name
PRAIRIE NURSING FACILITY LLC
Associate id - owner
6507030970
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-03-18
First name - owner
RITA
Middle name - owner
C
Last name - owner
MOORE

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